Individual provider Active NPI

Brandon Halls, DMD

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1437721834
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7624 Issued in OK
Practice address
6911 S 66TH East Ave Ste 300
Tulsa, OK 74133-1748
Phone
(918) 477-7677
NPI assigned
Jul 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7624 OK Primary

Addresses

Primary practice location

6911 S 66TH East Ave Ste 300
Tulsa, OK 74133-1748

Mailing address

6911 S 66TH East Ave Ste 300
Tulsa, OK 74133-1748
Phone (918) 477-7677

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

LicenseStateTypeSpecialty
7624OKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Halls Advanced Dentistry, PLLC Current Accepting new patients

Locations

6911 S 66th East Ave
Ste 300
Tulsa, OK 74133
Phone (918) 477-7677

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1437721834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 S 66TH EAST AVE STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331748",
            "telephone_number": "918-477-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 S 66TH EAST AVE STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331748",
            "telephone_number": "918-477-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLS",
        "first_name": "BRANDON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-14",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.