Terry Cornelius Hall, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5494 Issued in NC

Practice address

424 Main St W
Ahoskie, NC 27910-3322

Phone

(252) 332-3265

Fax

(252) 332-4703

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558489724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 MAIN ST W",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103322",
            "telephone_number": "252-332-3265",
            "fax_number": "252-332-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 MAIN ST W",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103322",
            "telephone_number": "252-332-3265",
            "fax_number": "252-332-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "TERRY",
        "middle_name": "CORNELIUS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8993462",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• GWM Enterprises (Drugco)
• GWM Enterprises Inc. (Drugco)
• Jean Carlson Haddock, P.T.
• Miranda Neal Haislip
• Carolyn Cassandra Hall, ASSOCIATE DEGREE B.A
• Jolynn Harrell, CDE
• Shanta Harrell
• Sue Ann Harrison, COTA/L
• Kelby Lewis Harrup, PA-C
• Brooke Amber Hasenfelt

• General Practice Dentistry in Ahoskie, NC
• Providers in Ahoskie, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.