Active NPI
A David Hall, M.D.
- Urology Physician
- Cammack Village, AR
National Provider Identifier
1720149974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- C-4823
- Practice address
- 12 Sunset Dr
Cammack Village, AR 72207-1822 - Phone
- (501) 664-2185
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | C-4823 | AR | Primary |
Addresses
Primary practice location
12 Sunset Dr
Cammack Village, AR 72207-1822
Mailing address
12 Sunset Dr
Cammack Village, AR 72207-1822
Phone (501) 664-2185
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-4823 | AR | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1720149974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 SUNSET DR",
"city": "CAMMACK VILLAGE",
"state": "AR",
"postal_code": "722071822",
"telephone_number": "501-664-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 SUNSET DR",
"city": "CAMMACK VILLAGE",
"state": "AR",
"postal_code": "722071822",
"telephone_number": "501-664-2185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "A",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AR",
"license": "C-4823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cammack Village, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.