Dustin Eric Haller, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19767 Issued in FL

Practice address

7085 Nova Dr Apt 318
Davie, FL 33317-8112

Phone

(305) 582-6255

NPI assigned

Jun 12, 2012

Last updated

Jun 12, 2012By the provider in NPPES

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

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1346502705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7085 NOVA DR APT 318",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333178112",
            "telephone_number": "305-582-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7085 NOVA DR APT 318",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333178112",
            "telephone_number": "305-582-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLER",
        "first_name": "DUSTIN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farzanna Sherene Haffizulla, M.D.
• Haitiasn American Research Company
• Judith Hakiel-Calcaterra, IMH
• Ashley Hall
• Nicole Lynn Hall, D.M.D
• Elizabeth Muller Hames, D.O.
• Teri A Hamill, PHD
• Christal Alexa Hamilton
• Denise Hamilton
• Hand & Arm Therapy Specialist's Inc.

• General Practice Dentistry in Davie, FL
• Providers in Davie, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.