Active NPI
Hali Tubb, RDH
- Dental Hygienist
- San Angelo, TX
National Provider Identifier
1659563070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 14699
- Practice address
- 2029 W Beauregard Ave
San Angelo, TX 76901-3812 - Phone
- (325) 657-8154
- Fax
- (325) 486-9549
- NPI assigned
- Aug 10, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 14699 | TX | Primary |
Addresses
Primary practice location
2029 W Beauregard Ave
San Angelo, TX 76901-3812
Mailing address
2033 W Beauregard Ave
San Angelo, TX 76901-3883
Phone (325) 942-8577
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 |
|---|---|---|---|
| 14699 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Esperanza Clinic, Inc. | 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.
-
- Federally Qualified Health Center (FQHC)
- San Angelo, TX
- NPI 1487424602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186704000000",
"number": "1659563070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2033 W BEAUREGARD AVE",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769013883",
"telephone_number": "325-942-8577",
"fax_number": "325-223-1480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2029 W BEAUREGARD AVE",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769013812",
"telephone_number": "325-657-8154",
"fax_number": "325-486-9549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUBB",
"first_name": "HALI",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-10",
"last_updated": "2007-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TX",
"license": "14699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.