Active NPI
Anita Hale, DMD
- General Practice Dentistry
- Prestonsburg, KY
National Provider Identifier
1386720753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5363
- Practice address
- 4807 Ky Route 321
Prestonsburg, KY 41653-9113 - Phone
- (606) 886-8400
- Fax
- (606) 886-8471
- NPI assigned
- Oct 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5363 | KY | Primary |
Addresses
Primary practice location
4807 Ky Route 321
Prestonsburg, KY 41653-9113
Mailing address
4807 Ky Route 321
Prestonsburg, KY 41653-9113
Phone (606) 886-8400
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5363 | KY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220486400000",
"number": "1386720753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4807 KY ROUTE 321",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416539113",
"telephone_number": "606-886-8400",
"fax_number": "606-886-8471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4807 KY ROUTE 321",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416539113",
"telephone_number": "606-886-8400",
"fax_number": "606-886-8471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "ANITA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-28",
"last_updated": "2008-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "5363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prestonsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.