Lawrence Hale

Primary specialty

DentistTaxonomy code 122300000X

License

DN15980 Issued in FL

Practice address

701 S Indiana Ave Ste a
Englewood, FL 34223

Phone

(941) 475-3962

Fax

(941) 473-1398

NPI assigned

Nov 1, 2013

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

Medicare fee-for-service enrollment

Enrolled in FL

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

Practice roles

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.

• Todays Dentistry PA

  • Dentist
  • Venice, FL
  • NPI 1063625879
  NPD (past) Authorized official
• Ty Griffiths DMD, PA

  • Dental Clinic/Center
  • Venice, FL
  • NPI 1194196626
  NPD (past)

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1336578293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S INDIANA AVE STE A",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342233764",
            "telephone_number": "941-475-3962",
            "fax_number": "941-473-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S INDIANA AVE STE A",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "34223",
            "telephone_number": "941-475-3962",
            "fax_number": "941-473-1398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1872 Tamiami Trl S",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342933129",
            "country_code": "US",
            "telephone_number": "941-493-4156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALE",
        "first_name": "LAWRENCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-01",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Urology of Englewood
• Gulf-to-Bay Anesthesiology Associates LLC
• Gulfcoast Anesthetist Specialists, P.a.
• Teri J. Hagerty
• Michael Haghighi, M.D.
• Cecilia Hall, NP
• Barbara J Halleron, L.M.T.
• Mahmoud Hamdallah
• Rachael M Hamelink, AGACNP
• Barbara L Harms, D.C.

• Dentist in Englewood, FL
• Providers in Englewood, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.