NPIMap

Organization Active NPI

Dr. Matthew Hall, PC

  • Dental Clinic/Center
  • Sacramento, CA
National Provider Identifier
1396138731
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
62490 Issued in CA
Legal business name
DR. MATTHEW HALL, PC
Practice address
791 El Dorado Way
Sacramento, CA 95819-3214
Phone
(916) 451-0407
NPI assigned
Mar 10, 2015
Last updated
Jun 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Authorized official

Name
Dr. Matthew L Hall, D.D.S.NPI 1306285242
Title
President
Phone
91644510407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 62490 CA Primary

Addresses

Primary practice location

791 El Dorado Way
Sacramento, CA 95819-3214

Mailing address

791 El Dorado Way
Sacramento, CA 95819-3214
Phone (916) 451-0407

National Provider Directory

National Provider Directory

Locations

791 El Dorado Way
Sacramento, CA 95819
Phone (916) 451-0407

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1396138731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 EL DORADO WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193214",
            "telephone_number": "916-451-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 EL DORADO WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193214",
            "telephone_number": "916-451-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MATTHEW HALL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "91644510407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "62490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.