Lisa D Hall, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

6568 Issued in KY

Practice address

60 Center St
Beattyville, KY 41311-9085

Phone

(606) 464-9262

Fax

(066) 208-8122

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lisa.hall.p1@direct.juniperhealth.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Juniper Health Inc

  • Federally Qualified Health Center (FQHC)
  • Beattyville, KY
  • NPI 1407818628

  Dentist

  NPD (past)
• Juniper Health Inc

  • Federally Qualified Health Center (FQHC)
  • West Liberty, KY
  • NPI 1447791512
  NPD (past)
• Juniper Health Inc

  • Federally Qualified Health Center (FQHC)
  • Jackson, KY
  • NPI 1467417691

  Dentist

  NPD (past)
• Juniper Health Inc

  • Federally Qualified Health Center (FQHC)
  • Sandy Hook, KY
  • NPI 1669014627
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1417078023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690",
            "city": "BEATTYVILLE",
            "state": "KY",
            "postal_code": "413110690",
            "telephone_number": "606-464-0151",
            "fax_number": "606-464-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CENTER ST",
            "city": "BEATTYVILLE",
            "state": "KY",
            "postal_code": "413119085",
            "telephone_number": "606-464-9262",
            "fax_number": "066-208-8122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "672 Main St",
            "address_purpose": "LOCATION",
            "city": "West Liberty",
            "state": "KY",
            "postal_code": "414721018",
            "country_code": "US",
            "telephone_number": "606-743-3030",
            "fax_number": "606-743-7480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1484 Lakeside Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "KY",
            "postal_code": "413396555",
            "country_code": "US",
            "telephone_number": "606-666-9950",
            "fax_number": "606-666-9136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 N Ky 7",
            "address_purpose": "LOCATION",
            "city": "Sandy Hook",
            "state": "KY",
            "postal_code": "411719137",
            "country_code": "US",
            "telephone_number": "606-738-9785",
            "fax_number": "859-317-2148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "LISA",
        "middle_name": "D",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "6568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY LICENSE KENTUCKY DENTA",
            "identifier": "6568",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60065687",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID FQHC",
            "identifier": "31000862",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry Foley
• William Jerome Gay, DO
• Smita Godbole
• Billy Goe
• Joshua Haddix
• Karisha Hayton
• Hannah Hobbs, APRN, FNP-BC
• Helen Genette Holliday
• HQM of Beattyville, LLC
• Casey Humes, PHARMD

• Dentist in Beattyville, KY
• Providers in Beattyville, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.