Individual provider Active NPI

Halle Therese Grove, DMD

  • Dentist
  • Rochester, PA
National Provider Identifier
1558090761
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS043598 Issued in PA
Practice address
176 Virginia Ave
Rochester, PA 15074-1723
Phone
(724) 683-3049
Fax
(724) 683-3050
NPI assigned
Jun 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS043598 PA Primary

Addresses

Primary practice location

176 Virginia Ave
Rochester, PA 15074-1723

Mailing address

63 Pitt St
Sharon, PA 16146-2102
Phone (724) 683-3049

Other practice location 1

3572 Brodhead Rd
Monaca, PA 15061-4772
Phone (724) 728-7576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20240513003658 PA Practitioner - Dentist 8921449661 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince Jun 1, 2024 Accepting new patients
Primary Health Network CurrentSince Jun 1, 2024 Accepting new patients

Locations

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

2807 Wilmington Rd
New Castle, PA 16105
Phone (724) 250-9140

176 Virginia Ave
Rochester, PA 15074
Phone (724) 770-9095

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

Interoperability endpoints

  • Direct secure messaging: hallegrove@primaryhn.medalliesdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1558090761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 PITT ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161462102",
            "telephone_number": "724-683-3049",
            "fax_number": "724-683-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 VIRGINIA AVE",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150741723",
            "telephone_number": "724-683-3049",
            "fax_number": "724-683-3050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3572 Brodhead Rd",
            "address_purpose": "LOCATION",
            "city": "Monaca",
            "state": "PA",
            "postal_code": "150614772",
            "country_code": "US",
            "telephone_number": "724-728-7576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROVE",
        "first_name": "HALLE",
        "middle_name": "THERESE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS043598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, PA

Sources for this page

Verify at the official NPI Registry.