Ryan C. Halls, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7804 Issued in OK

Practice address

6416 S Elm PL
Broken Arrow, OK 74011-4819

Phone

(918) 940-3244

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Dentistry at Power Ranch Inc

  • General Practice Dentistry
  • Gilbert, AZ
  • NPI 1093907891
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1497973606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13657 S 23RD ST",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740084179",
            "telephone_number": "480-567-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740114819",
            "telephone_number": "918-940-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLS",
        "first_name": "RYAN",
        "middle_name": "C.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5920",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Hale, D.C.
• Amanda Hall
• Meisha Hall
• Neysa Lou Hall, PROVIDER
• Halls Anchor of Hope
• Monica W Hamer, MSW, LCSW
• Meagan Elise Hamilton
• Brandi Shantil Hamm, NP
• Nathan Gage Hamm
• Mark Steven Hamra, M.D.

• General Practice Dentistry in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.