Active NPI
Kevin J. Hallgarth, D.D.S., Inc.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Hudson, OH
National Provider Identifier
1497822167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 30-01-9885
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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 DirectoryLocations
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Hudson, OH
- NPI 1679640338
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.