Halo Dental

Primary specialty

DentistTaxonomy code 122300000X

License

019026403 Issued in IL

Legal business name

HALO DENTAL

Practice address

2033 W Division St
Chicago, IL 60622-8108

Phone

(773) 489-5700

Fax

(773) 340-4213

NPI assigned

Jun 9, 2014

Organization subpart

No

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

Authorized official

Name

Phillip Palella, DDS

Title

Owner

Phone

(773) 489-5700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1447663232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228108",
            "telephone_number": "773-489-5700",
            "fax_number": "773-340-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228108",
            "telephone_number": "773-489-5700",
            "fax_number": "773-340-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "PALELLA",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-489-5700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamad Halloum, MD
• Shannon Halloway
• Sarah Elizabeth Hallowell, MS, CF-SLP
• Sarah G Halm Lutterodt, APN,CNS
• Savanna L Halman, LPC
• Halo Medical Professionals SC.
• Ariel Halper Stromberg
• Griffin Halperin
• Howard Halpern
• Michael R. Halpern, M.D.

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.