Active NPI
Richard Hall, D.D.S
- Dentist
- Ravenna, OH
National Provider Identifier
1366898249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.24717
- Practice address
- 250 S Chestnut St Ste 30
Ravenna, OH 44266-3031 - Phone
- (330) 297-7009
- NPI assigned
- May 10, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30.24717 | OH | Primary |
Addresses
Primary practice location
250 S Chestnut St Ste 30
Ravenna, OH 44266-3031
Mailing address
250 S Chestnut St Ste 30
Ravenna, OH 44266-3031
Phone (330) 297-7009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.24717 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462838400000",
"number": "1366898249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 S CHESTNUT ST STE 30",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442663031",
"telephone_number": "330-297-7009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 S CHESTNUT ST STE 30",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442663031",
"telephone_number": "330-297-7009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "RICHARD",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-10",
"last_updated": "2016-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.24717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ravenna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.