Dennis A Hall, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

22893 Issued in CA

Practice address

15803 Hesperian Blvd
San Lorenzo, CA 94580-1537

Phone

(510) 276-1900

Fax

(510) 276-7894

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Dennis A Hall Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174730204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 MELISSA LN",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945461253",
            "telephone_number": "510-538-7889",
            "fax_number": "510-889-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15803 HESPERIAN BLVD",
            "city": "SAN LORENZO",
            "state": "CA",
            "postal_code": "945801537",
            "telephone_number": "510-276-1900",
            "fax_number": "510-276-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "DENNIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "22893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENNIS",
            "last_name": "HALL",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Laura Goossens
• Alejandra Grajeda Ruiz
• Christina Marie Guevarra, DC
• Desiree Angelica Gutierrez
• Amy A. Halio, MD
• Healing With Care Staffing-LLC
• Esperanza Hempel, LMT
• Alejandra M Herrera Jr.
• Hesperian Dental Group Inc
• Kenneth Kon Hsu, D.D.S.

• Orthodontics and Dentofacial Orthopedics Dentistry in San Lorenzo, CA
• Providers in San Lorenzo, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.