Individual provider Active NPI

Robert M Hale, DDS

  • Public Health Dentistry
  • Davison, MI
National Provider Identifier
1164565065
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
12494 Issued in MI
Practice address
8379 Davison Rd
Suite a
Davison, MI 48423-2002
Phone
(810) 653-7120
Fax
(810) 653-3157
NPI assigned
Feb 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 12494 MI Primary

Addresses

Primary practice location

8379 Davison Rd
Suite a
Davison, MI 48423-2002

Mailing address

8379 Davison Rd
Suite a
Davison, MI 48423-2002
Phone (810) 653-7120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150302001270 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1951627330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12494MIMDPublic Health Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ae Dental PLLC PastSince Jul 3, 2022 Accepting new patients
Robert M Hale DDS PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164565065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8379 DAVISON RD",
            "address_2": "SUITE A",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484232002",
            "telephone_number": "810-653-7120",
            "fax_number": "810-653-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8379 DAVISON RD",
            "address_2": "SUITE A",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484232002",
            "telephone_number": "810-653-7120",
            "fax_number": "810-653-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MI",
            "license": "12494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davison, MI

Sources for this page

Verify at the official NPI Registry.