Vance Patrick Hall, DMD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

11029187-9924 Issued in UT

Practice address

2297 N Hill Field Rd Ste 105
Layton, UT 84041-6928

Phone

(801) 779-0506

Fax

(801) 779-4344

NPI assigned

Apr 15, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 21, 2022 through Mar 21, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ut Oms Specialty Dental Services PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • West Jordan, UT
  • NPI 1194582031
  NPD (past)
• Ut Oms Specialty Dental Services PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Layton, UT
  • NPI 1518724459
  NPD (past)

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1417344557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2297 N HILL FIELD RD STE 105",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840416928",
            "telephone_number": "801-758-5003",
            "fax_number": "801-779-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2297 N HILL FIELD RD STE 105",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840416928",
            "telephone_number": "801-779-0506",
            "fax_number": "801-779-4344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 W 400 N Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840106199",
            "country_code": "US",
            "telephone_number": "801-758-5003",
            "fax_number": "801-299-9667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3590 Harrison Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844032023",
            "country_code": "US",
            "telephone_number": "804-628-6637",
            "fax_number": "804-828-0056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2711 N Highway 89 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Pleasant View",
            "state": "UT",
            "postal_code": "844041225",
            "country_code": "US",
            "telephone_number": "801-758-5003",
            "fax_number": "801-605-8582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "VANCE",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-15",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "UT",
            "license": "11029187-9924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Clint Hales, M.D.
• Christopher Scott Hales, CMHC
• Craig R Hall, MD
• Katherine Hall, MS CCC-SLP
• Linzee Hall
• Victoria Hall, RBT
• Julie Ann Halladay, PTA
• Angelique Hamel
• Cari Breann Hamilton
• Alyssa Nicole Hammond

• Oral & Maxillofacial Surgery (D.M.D.) in Layton, UT
• Providers in Layton, UT by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.