Kenneth Lee Hale, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

041390-1 Issued in NY

Practice address

25 Red Jacket St
Dansville, NY 14437-9517

Phone

(585) 335-2201

Fax

(585) 335-7243

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Dansville Dental Professionals LLP

  • General Practice Dentistry
  • Dansville, NY
  • NPI 1922003615
  NPD (past) Authorized official
• Sci Anesthesia PLLC

  • Anesthesiology Physician
  • Rochester, NY
  • NPI 1316360126
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497801344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 RED JACKET ST",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379517",
            "telephone_number": "585-335-2201",
            "fax_number": "585-335-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 RED JACKET ST",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379517",
            "telephone_number": "585-335-2201",
            "fax_number": "585-335-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "KENNETH",
        "middle_name": "LEE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041390-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Grove
• Gaetano Gullo
• Teresita Gungon, MD
• Anna Hale
• Kathleen Largo Hale, D.D.S.
• Glenn J Hann, PNP, NPP
• Maureen Harris, LMHC
• Emilea Taylor Harrison
• Katheryne Elizabeth Hassman, PHARMD
• Kimberly A Hayes, PTA

• General Practice Dentistry in Dansville, NY
• Providers in Dansville, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.