Robert Glenn Hale, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

29601 Issued in CA

Practice address

6325 Topanga Canyon Blvd
Ste 435
Woodland Hills, CA 91367-2046

Phone

(818) 999-0900

Fax

(818) 999-6927

NPI assigned

Apr 4, 2006

Last updated

Nov 21, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robert G Hale DDS Apc

  dba Woodland Hills Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Woodland Hills, CA
  • NPI 1275912891
  Authorized official Same address or phone

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1366404410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD",
            "address_2": "STE 435",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672046",
            "telephone_number": "818-999-0900",
            "fax_number": "818-999-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD",
            "address_2": "STE 435",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672046",
            "telephone_number": "818-999-0900",
            "fax_number": "818-999-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "ROBERT",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "9431",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "29601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "D29601",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B29601-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Roxanne Hakimi
• Noor-Hoda Hakimjavadi, MS, RDN
• Razmik Hakobyan, PHARMD
• Naeri Hakopian, PHD
• Austin Robert Hale, DDS, MD
• Haleh Shaheedy,DMD, Inc. (Smiles For All)
• Christopher J. Hall, DC
• Ghassan Hallaq
• Halpert Dental X-Ray, Inc.
• Monika Hambardzumyan, LMFT

• Oral and Maxillofacial Surgery (Dentist) in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.