David Reeves Hall, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5964 Issued in IA

Practice address

101 E Southridge Rd
Marshalltown, IA 50158-4552

Phone

(641) 753-3383

Fax

(641) 753-8495

NPI assigned

Sep 29, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kimball and Beecher Marshalltown PLLC

  • General Practice Dentistry
  • Marshalltown, IA
  • NPI 1295100907
  NPD (past)
• Optimae Lifeservices, Inc,

  • Community/Behavioral Health Agency
  • Fairfield, IA
  • NPI 1174520084
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1629160163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E SOUTHRIDGE RD",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584552",
            "telephone_number": "641-753-3383",
            "fax_number": "641-753-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E SOUTHRIDGE RD",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584552",
            "telephone_number": "641-753-3383",
            "fax_number": "641-753-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "DAVID",
        "middle_name": "REEVES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "5964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0129460",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "845914",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF IOWA",
            "identifier": "12946",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colene Ann Grecian, D.D.S.
• Bruce A Gregory, MA, LPC
• GRX Holdings LLC
• Guardian Advocate,LLC
• Patricia Ann Haberichter, P.T.
• Janelle Ham
• John Adam Hamilton, MD
• Hammer Incorporated (Nucara Home Medical)
• Taylor Hammes
• Brett Allen Hand, MA, ATC, CSCS

• General Practice Dentistry in Marshalltown, IA
• Providers in Marshalltown, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.