Richard Phillip Hall II, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN11604 Issued in FL

Practice address

111 Lagrande Blvd
The Villages, FL 32159-1302

Phone

(352) 753-7507

Fax

(352) 753-5079

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• The Village Dental Care, PA

  • General Practice Dentistry
  • The Villages, FL
  • NPI 1073991204
  NPD (past) Authorized official
• The Village Dental Care, PA

  • General Practice Dentistry
  • The Villages, FL
  • NPI 1649578287
  NPD (past) Authorized official

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1194872101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1900",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321581900",
            "telephone_number": "352-753-7507",
            "fax_number": "352-753-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LAGRANDE BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321591302",
            "telephone_number": "352-753-7507",
            "fax_number": "352-753-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "RICHARD",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett D Gurden, PA-C
• Gil Fabros Gutierrez, M.D.
• Tiffany Marie Hafer, APRN, FNP-C
• Lisa Hair, PA
• Elysia Hall
• Diana Lynne Hammond
• Frederic L Hammond, O.D.
• Lauren Marie Hana, MD
• Hanger Prosthetics & Orthotics, Inc.
• Debra Hanley, D.P.M.

• General Practice Dentistry in The Villages, FL
• Providers in The Villages, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.