Organization Active NPI

Robert Hall DDS

  • Dentist
  • St Francis, WI
National Provider Identifier
1285310771
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ROBERT HALL DDS
Practice address
3555 S Kinnickinnic Ave
St Francis, WI 53235-3739
Phone
(414) 744-0634
NPI assigned
Jun 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Dr. Robert Clark Hall, DDSNPI 1770145609
Title
Dentist
Phone
(734) 929-7451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3555 S Kinnickinnic Ave
St Francis, WI 53235-3739

Mailing address

3555 S Kinnickinnic Ave
St Francis, WI 53235-3739
Phone (734) 929-7451

National Provider Directory

National Provider Directory

Locations

3555 S Kinnickinnic Ave
St Francis, WI 53235
Phone (414) 744-0634

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1285310771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 S KINNICKINNIC AVE",
            "city": "ST FRANCIS",
            "state": "WI",
            "postal_code": "532353739",
            "telephone_number": "734-929-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 S KINNICKINNIC AVE",
            "city": "ST FRANCIS",
            "state": "WI",
            "postal_code": "532353739",
            "telephone_number": "414-744-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT HALL DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "734-929-7451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Francis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.