Stanley David Halpern, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

9047 Issued in GA

Practice address

4001 Canton Rd
Ste 1
Marietta, GA 30066-2739

Phone

(770) 928-6655

Fax

(770) 928-6656

NPI assigned

Sep 27, 2006

Sex

Female

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

• Mr. Stanley David Halpern Other name

Medicare fee-for-service enrollment

Enrolled in GA

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

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255422317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 CANTON RD",
            "address_2": "STE 1",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662739",
            "telephone_number": "770-928-6655",
            "fax_number": "770-928-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 CANTON RD",
            "address_2": "STE 1",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662739",
            "telephone_number": "770-928-6655",
            "fax_number": "770-928-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALPERN",
        "first_name": "STANLEY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "9047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STANLEY",
            "last_name": "HALPERN",
            "middle_name": "DAVID",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sherterica Hall, D.C.
• Yulia Hall, BCBA
• Jessica Hallam Anderson, LPC
• Christopher Hallock, PA-C
• Jeremy Hallock
• Kristi Anderson Halsell, AU.D., CCC-A
• Ian James Halstead, LCSW
• Thomas L Haltom, M.D.
• Hiba Hamadeh, MMEDSCI, RDN, LD
• John Henry Hamel, D.D.S.

• Periodontics in Marietta, GA
• Providers in Marietta, GA by specialty
• Periodontics in Georgia

• 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.
• 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.