Brent Robert Hall, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4563 Issued in AZ

Practice address

8877 W Union Hills Dr
Ste 600
Peoria, AZ 85382-3008

Phone

(623) 977-1181

Fax

(623) 566-7241

NPI assigned

Apr 2, 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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598885477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8877 W UNION HILLS DR",
            "address_2": "STE 600",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823008",
            "telephone_number": "623-977-1181",
            "fax_number": "623-566-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8877 W UNION HILLS DR",
            "address_2": "STE 600",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823008",
            "telephone_number": "623-977-1181",
            "fax_number": "623-566-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "BRENT",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Hairapetian, M.A.
• Adugna Busa Haji
• Georgette Fabiola Hakizimana
• Corliss Kelly Hales, RDH
• Half Dental Inc
• John Lucas Hall Jr., LPN
• Daron Guy Halle, D.C.
• Kelly Jean Halterman, AU.D.
• Michaela Lynn Halwachs, LCSW
• Connie Hammond

• General Practice Dentistry in Peoria, AZ
• Providers in Peoria, AZ by specialty
• General Practice Dentistry in Arizona

• 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.