Individual provider Active NPI

Christopher J Hall, D.M.D

  • General Practice Dentistry
  • Bozeman, MT
National Provider Identifier
1285919415
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2189 Issued in MT
Practice address
301 N 15TH Ave
Bozeman, MT 59715-3239
Phone
(406) 586-2117
Fax
(406) 586-8792
NPI assigned
Oct 19, 2011
Last updated
Oct 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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 2189 MT Primary

Addresses

Primary practice location

301 N 15TH Ave
Bozeman, MT 59715-3239

Mailing address

301 N 15TH Ave
Bozeman, MT 59715-3239
Phone (406) 586-2117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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

Enrollment IDStateProvider typePAC IDDetails
I20150420001341 MT Order and Referring Only - DentistPractitioner - Dentist 2264750447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2189MTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1285919415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 15TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153239",
            "telephone_number": "406-586-2117",
            "fax_number": "406-586-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 15TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153239",
            "telephone_number": "406-586-2117",
            "fax_number": "406-586-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.