Douglas R Halloran DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

43532 Issued in CA

Legal business name

DOUGLAS R HALLORAN DDS INC

Practice address

1100 W Shaw Ave
Ste 146
Fresno, CA 93711-3708

Phone

(559) 224-9925

Fax

(559) 224-4478

NPI assigned

Oct 4, 2005

Organization subpart

No

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

Authorized official

Name

Douglas Ray Halloran, DDSNPI 1578770723

Title

President

Phone

(559) 224-9925

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Ray Halloran, D.D.S.

  • General Practice Dentistry
  • Fresno, CA
  • NPI 1578770723
  NPD (past) Authorized official
• William Richard Halloran, D.D.S.

  • General Practice Dentistry
  • Fresno, CA
  • NPI 1093975641
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386631349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W SHAW AVE",
            "address_2": "STE 146",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113708",
            "telephone_number": "559-224-9925",
            "fax_number": "559-224-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W SHAW AVE",
            "address_2": "STE 146",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113708",
            "telephone_number": "559-224-9925",
            "fax_number": "559-224-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS R HALLORAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALLORAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-224-9925",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI CAL",
            "identifier": "B43532 01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth E. Doty, D.D.S.
• Samuel Doty
• Kimberly Ann Dougherty, PHD
• Simon Francis Dougherty, PA-C
• Douglas O. Charters
• Douglas R Swinehart M D Professional Corporation
• Douglas S. Stanley, M.D., Inc.
• Shalila Anne Douglas, PH.D
• Kimberly Douglass
• Sophia A Doukas

• Dentist in Fresno, CA
• Providers in Fresno, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.