Scott C. Hallsted, D.D.S., Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

23190 Issued in CA

Legal business name

SCOTT C. HALLSTED, D.D.S., INC

Practice address

500 Primrose Road
Burlingame, CA 94010-4088

Phone

(650) 343-1104

Fax

(650) 343-0772

NPI assigned

Jul 16, 2012

Last updated

Jul 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott C Hallsted, D.D.S.NPI 1508059817

Title

President

Phone

(650) 343-1104

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Clinton Hallsted, D.D.S.

  • General Practice Dentistry
  • Burlingame, CA
  • NPI 1508059817
  Authorized official Same address or phone

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1598010506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PRIMROSE ROAD",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104088",
            "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 ROAD",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104088",
            "telephone_number": "650-343-1104",
            "fax_number": "650-343-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT C. HALLSTED, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "HALLSTED",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-343-1104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "23190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Ali Schricker, M.D
• Jeffrey M Schubiner, M.D.
• Patricia Schultz, MA, LPC
• Richard Stephen Schwartz, M.D.
• Joshua S Sckolnick, M.D.
• Scott Milliken, D.D.S., M.S., Inc
• Vanessa Scudder, AMFT, APCC
• SDC Enterprises LLC
• Seed and Seek Individual and Marriage Counseling Corporation (Seed and Seek Counseling Services)
• Carolyn D. Seen, MD

• Customized Equipment (DME) in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.