Organization Active NPI

Kevin J. Hallgarth, D.D.S., Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hudson, OH
National Provider Identifier
1497822167
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
30-01-9885 Issued in OH
Legal business name
KEVIN J. HALLGARTH, D.D.S., INC.
Practice address
46 E Streetsboro St
Hudson, OH 44236-3048
Phone
(330) 650-1119
Fax
(330) 650-0836
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kevin Joe Hallgarth, D.D.S.NPI 1679640338
Title
President
Phone
(330) 650-1119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 30-01-9885 OH Primary

Addresses

Primary practice location

46 E Streetsboro St
Hudson, OH 44236-3048

Mailing address

5999 Nicholson Dr
Hudson, OH 44236-4409
Phone (330) 650-5025

National Provider Directory

National Provider Directory

Locations

46 E Streetsboro St
Hudson, OH 44236
Phone (330) 650-1119

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497822167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5999 NICHOLSON DR",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364409",
            "telephone_number": "330-650-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 E STREETSBORO ST",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442363048",
            "telephone_number": "330-650-1119",
            "fax_number": "330-650-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN J. HALLGARTH, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALLGARTH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-650-1119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30-01-9885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.