Halliburton Orthodontics,P.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

HALLIBURTON ORTHODONTICS,P.C.

Practice address

1335 E Center St
Kingsport, TN 37664-2489

Phone

(423) 246-3001

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Donald Richard Halliburton, D.D.S., M.S.

Title

President

Phone

(423) 246-3001

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Norris Pulitzer, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kingsport, TN
  • NPI 1093987760
  NPD (past)
• Samuel Flettrich Pulitzer, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kingsport, TN
  • NPI 1629248950
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194943688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 E CENTER ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 E CENTER ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642489",
            "telephone_number": "423-246-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLIBURTON ORTHODONTICS,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALLIBURTON, D.D.S., M.S.",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-246-3001"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4057154",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "843715",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corey Donovan Hall, RN
• Janet Anne Hall, PT
• Shannon Scott Hall, D.C
• Vicki Lee Hall, LPN
• Pamela Faye Hallett, REGISTERED NURSE RNC
• Emily W Ham, CDE
• Rachel E. Hamelryck, M.S., CF-SLP
• Melissa C Hamilton, APRN
• Rebecca Jane Hamilton, NP
• William David Hamilton, DC

• Orthodontics and Dentofacial Orthopedics Dentistry in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.