Active NPI
Brock Hall, DMD
- General Practice Dentistry
- McAllen, TX
National Provider Identifier
1417486689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 33065
- Practice address
- 2708 W Nolana Ave Ste 120
McAllen, TX 78504-4181 - Phone
- (956) 682-2209
- NPI assigned
- Jun 9, 2017
- Last updated
- Jun 9, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 33065 | TX | Primary |
Addresses
Primary practice location
2708 W Nolana Ave Ste 120
McAllen, TX 78504-4181
Mailing address
7400 W Arrowhead Clubhouse Dr Apt 2063
Glendale, AZ 85308-8827
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 |
|---|---|---|---|
| 33065 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496966400000",
"number": "1417486689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 W ARROWHEAD CLUBHOUSE DR APT 2063",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 W NOLANA AVE STE 120",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785044181",
"telephone_number": "956-682-2209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "BROCK",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-09",
"last_updated": "2017-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "33065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.