Kevin Allan Hall, DMD

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

007780 Issued in CT

Practice address

1841 Broad St
Hartford, CT 06114-1780

Phone

(860) 278-4163

Fax

(860) 278-5995

NPI assigned

May 29, 2008

Last updated

May 29, 2008By 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

Enrolled in CT

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.

Enrollment records 1

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.

• Hartford Gay & Lesbian Health Collective

  • Dentist
  • Hartford, CT
  • NPI 1992096887
  NPD (past)

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1700044542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2094",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061452094",
            "telephone_number": "860-278-4163",
            "fax_number": "860-278-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 BROAD ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061141780",
            "telephone_number": "860-278-4163",
            "fax_number": "860-278-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KEVIN",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "CT",
            "license": "007780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian F Hale, DO
• Christopher H. Hale, ED.D.
• Ikram Hales
• Horace Anothony Hall Jr.
• Jasmine M Hall
• Quinton Hall
• Stephanie Rene Hall, MSW
• Ernest Hallbach, ATC
• Loretta Ruth Hallock, D.O.
• Victoria J Hallowell, PA-C

• Public Health Dentistry in Hartford, CT
• Providers in Hartford, CT by specialty
• Public Health Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.