Active NPI
Daniel Hall, DMD
- Pediatric Dentistry
- San Diego, CA
National Provider Identifier
1467867663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 103313
- Practice address
- 13350 Camino del Sur Ste 3B
San Diego, CA 92129-4473 - Phone
- (858) 215-2485
- Fax
- (858) 905-3385
- NPI assigned
- Jun 25, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30134 | TX | |
| Pediatric Dentistry | 1223P0221X | 103313 | CA | Primary |
Addresses
Primary practice location
13350 Camino del Sur Ste 3B
San Diego, CA 92129-4473
Mailing address
13350 Camino del Sur Ste 3B
San Diego, CA 92129-4473
Phone (858) 215-2485
Other practice location 1
41593 Winchester Rd Ste 220
Temecula, CA 92590-4841
Phone (951) 676-4840
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 |
|---|---|---|---|
| 103313 | CA | MD | Pediatric Dentist |
| 30134 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Hall DMD Inc. | Pediatric Dentistry | Current | Accepting new patients |
| Mohammad Abul Fielat DDS Inc | Pediatric Dentistry | Past | Accepting new patients |
Locations
13350 Camino del Sur
Ste 3B
San Diego, CA 92129
Phone (858) 215-2485
Organizations & group practices 2
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.
-
- Pediatric Dentistry
- Temecula, CA
- NPI 1073748174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1467867663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13350 CAMINO DEL SUR STE 3B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921294473",
"telephone_number": "858-215-2485",
"fax_number": "858-905-3385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13350 CAMINO DEL SUR STE 3B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921294473",
"telephone_number": "858-215-2485",
"fax_number": "858-905-3385"
}
],
"practiceLocations": [
{
"address_1": "41593 Winchester Rd Ste 220",
"address_purpose": "LOCATION",
"city": "Temecula",
"state": "CA",
"postal_code": "925904841",
"country_code": "US",
"telephone_number": "951-676-4840",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-25",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "30134",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "103313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.