Kevin Joe Hallgarth, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

30-01-9885 Issued in OH

Practice address

46 E Streetsboro St
Hudson, OH 44236

Phone

(330) 650-1119

Fax

(330) 650-0836

NPI assigned

Nov 29, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Kevin J. Hallgarth, D.D.S., Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hudson, OH
  • NPI 1497822167

  Orthodontics and Dentofacial Orthopedics

  NPD (past) Authorized official

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1679640338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5999 NICHOLSON DR",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364409",
            "telephone_number": "330-650-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 E STREETSBORO ST",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "44236",
            "telephone_number": "330-650-1119",
            "fax_number": "330-650-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLGARTH",
        "first_name": "KEVIN",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30-01-9885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DENTAL LICENSE NUMBE",
            "identifier": "30-01-9885",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Guesman
• Meredith Rose Guggenheim
• Katherine Mary Gyves-Ray, M.D.
• Caitlin Hagg
• Heather Lee Haight, OTR
• Melissa Jane Halozan
• Mark J Halsted, MD
• Anwar Hamami, M.D.
• Emily Erin Hammouri, CNP
• Laura J Hanahan, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Hudson, OH
• Providers in Hudson, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.