NPIMap

Organization Active NPI

Brent R Hall DDS PC

  • General Practice Dentistry
  • Peoria, AZ
National Provider Identifier
1396957783
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4563 Issued in AZ
Legal business name
BRENT R HALL DDS PC
Practice address
8877 W Union Hills Dr
Suite 600
Peoria, AZ 85382-3008
Phone
(623) 977-1181
NPI assigned
May 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brent Robert Hall, DDSNPI 1598885477
Title
President
Phone
(623) 977-1181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4563 AZ Primary

Addresses

Primary practice location

8877 W Union Hills Dr
Suite 600
Peoria, AZ 85382-3008

Mailing address

8877 W Union Hills Dr
Suite 600
Peoria, AZ 85382-3008
Phone (623) 977-1181

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1178323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396957783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8877 W UNION HILLS DR",
            "address_2": "SUITE 600",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823008",
            "telephone_number": "623-977-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8877 W UNION HILLS DR",
            "address_2": "SUITE 600",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823008",
            "telephone_number": "623-977-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT R HALL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-977-1181",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • 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.