Individual provider Active NPI

Michael Joseph Hallock, DDS

  • General Practice Dentistry
  • McKinney, TX
National Provider Identifier
1205157385
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25550 Issued in TX
Practice address
7210 Virginia Pkwy Ste 110
McKinney, TX 75071-5815
Phone
(972) 547-1775
Fax
(972) 632-1111
NPI assigned
Jun 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 25550 TX Primary

Addresses

Primary practice location

7210 Virginia Pkwy Ste 110
McKinney, TX 75071-5815

Mailing address

7210 Virginia Pkwy Ste 110
McKinney, TX 75071-5815
Phone (972) 547-1775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25550TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J Hallock DDS PA CurrentSince Nov 24, 2024 Accepting new patients

Locations

7210 Virginia Pkwy
Ste 110
McKinney, TX 75071
Phone (972) 547-1775

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1276300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1205157385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 VIRGINIA PKWY STE 110",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715815",
            "telephone_number": "972-547-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 VIRGINIA PKWY STE 110",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715815",
            "telephone_number": "972-547-1775",
            "fax_number": "972-632-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLOCK",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-12",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.