Matthew Hallas, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019027894 Issued in IL

Practice address

222 N Lasalle St Ste 230
Chicago, IL 60601-1005

Phone

(312) 704-5511

NPI assigned

Apr 13, 2010

Last updated

Apr 13, 2010By the provider in NPPES

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 26, 2016 through May 26, 2028

Medicare enrollment (NPD)

Not 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.

• Baylakes Center for Complex Dentistry SC

  • Prosthodontics
  • Green Bay, WI
  • NPI 1083705495
  NPD (past)

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1669798864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N LASALLE ST STE 230",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606011005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N LASALLE ST STE 230",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606011005",
            "telephone_number": "312-704-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLAS",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Ruth Hallack, APRN, CNP
• Olivia Marie Hallagan, MS, CCC-SLP
• Nadia Hallak, PSYD.
• Patrick Elie Hallak, M.D
• Erin L Hallar, APN-CRNA
• Elizabeth Marie Hallau, PA-C
• Davis Hallberg, DPT
• Heather Lynn Hallberg, D.T.
• James Hallberg, LCSW, CADC
• Michael McKinley Hallberg, M.D.

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.