Individual provider Active NPI

Ronald Warren Hull, DDS

  • Dentist
  • Elkhorn, WI
National Provider Identifier
1649386012
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2828 Issued in WI
Practice address
700 W Walworth St
Elkhorn, WI 53121-1517
Phone
(262) 723-2911
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2828 WI Primary

Addresses

Primary practice location

700 W Walworth St
Elkhorn, WI 53121-1517

Mailing address

700 W Walworth St
Elkhorn, WI 53121-1517
Phone (262) 723-2911

Other names 1

  • Ronald W Hull Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2828WIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649386012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W WALWORTH ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211517",
            "telephone_number": "262-723-2911",
            "fax_number": "262-723-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W WALWORTH ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211517",
            "telephone_number": "262-723-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "RONALD",
        "middle_name": "WARREN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "2828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONALD",
            "last_name": "HULL",
            "middle_name": "W",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elkhorn, WI

Sources for this page

Verify at the official NPI Registry.