Dalton Monzellroe Hall Jr., SA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

1011 Hawkins Way
Glen Burnie, MD 21061-5179

Phone

(703) 798-5924

NPI assigned

Aug 21, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1255524401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 HAWKINS WAY",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615179",
            "telephone_number": "703-798-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 HAWKINS WAY",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615179",
            "telephone_number": "703-798-5924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8109 Hampton Village Way",
            "address_purpose": "LOCATION",
            "city": "Brandywine",
            "state": "MD",
            "postal_code": "206135752",
            "country_code": "US",
            "telephone_number": "703-798-5924",
            "fax_number": "301-782-9929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "DALTON",
        "middle_name": "MONZELLROE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-21",
        "last_updated": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fady Ayed Haddad, D.D.S.
• Jenny Ranae Hahne, O.D.
• Constance Davis Haines, OTR
• Yasaman Hakakian, D.M.D.
• Halcyon 91' LLC
• Joseph Kevin Hall Jr.
• Nancy M Hall, OTR
• Timothy James Hall, CRNP
• Max Hamaker, MD
• Marc D Hamburger, MD

• Surgical Physician Assistant in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Surgical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.