Donald Frederick Hull

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

19750 Issued in CA

Practice address

4100 Montgomery Dr Ste B
Santa Rosa, CA 95405-5283

Phone

(707) 537-2020

Fax

(707) 537-2025

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Practice roles

Interoperability endpoints

• Direct secure messaging: dhull@direct.westerndental.com

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.

• Western Dental Services, Inc.

  • General Practice Dentistry
  • Santa Rosa, CA
  • NPI 1740326560
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1295871515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25445 ADOBE LN",
            "city": "LOS ALTOS HILLS",
            "state": "CA",
            "postal_code": "940224502",
            "telephone_number": "707-537-2020",
            "fax_number": "714-571-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 MONTGOMERY DR STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954055283",
            "telephone_number": "707-537-2020",
            "fax_number": "707-537-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "DONALD",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "19750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D19750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie Hughes, FNP-BC
• Andrew Garrett Hughey, P.T.
• Jai Eun Huh
• Chee-Ho Samson Hui, D.M.D.
• Megan Hulett
• Kate Hullen, R.N.
• Lauren Hullinger
• Audrey Hulsey
• Humanidad Therapy and Education Services
• Jennifer Hung, D.O.

• All providers in Santa Rosa, CA
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.