Active NPI
Dalton Hall, RD
- Registered Dietitian
- Madison, WI
National Provider Identifier
1598596017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5509-29
- Practice address
- 25 High Point Woods Dr Apt 103
Madison, WI 53719-3274 - Phone
- (256) 714-6529
- Fax
- (256) 714-6529
- NPI assigned
- Aug 8, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 5509-29 | WI | Primary |
Addresses
Primary practice location
25 High Point Woods Dr Apt 103
Madison, WI 53719-3274
Mailing address
25 High Point Woods Dr Apt 103
Madison, WI 53719-3274
Phone (256) 714-6529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5509-29 | WI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1723075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1598596017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 HIGH POINT WOODS DR APT 103",
"city": "MADISON",
"state": "WI",
"postal_code": "537193274",
"telephone_number": "256-714-6529",
"fax_number": "256-714-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 HIGH POINT WOODS DR APT 103",
"city": "MADISON",
"state": "WI",
"postal_code": "537193274",
"telephone_number": "256-714-6529",
"fax_number": "256-714-6529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "DALTON",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-08",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "5509-29",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.