Scott Clinton Hallsted, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23190 Issued in CA

Practice address

500 Primrose Rd
Burlingame, CA 94010-3907

Phone

(650) 343-1104

Fax

(650) 343-0772

NPI assigned

Aug 20, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1508059817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PRIMROSE RD",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103907",
            "telephone_number": "650-343-1104",
            "fax_number": "650-343-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PRIMROSE RD",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103907",
            "telephone_number": "650-343-1104",
            "fax_number": "650-343-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLSTED",
        "first_name": "SCOTT",
        "middle_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krysia Maria Haars, PA-C, ATC
• Melissa Hagan, PHD
• Leila Haghighat, M.D.
• Hair Spies, Inc.
• Martha S Hales, M.D.
• Noor El-Huda Hamka
• Ashley Hammonds
• Richard Jinwhan Han, M.D.
• Shital Vinod Handa
• Kyra Hanson, MSN, NP

• General Practice Dentistry in Burlingame, CA
• Providers in Burlingame, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.