Dustin Jordan Hall, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8409 Issued in KY

Practice address

6045 Kentucky Dam Rd
Paducah, KY 42003-9472

Phone

(270) 898-6215

Fax

(270) 898-6504

NPI assigned

Jun 20, 2008

Last updated

Jun 20, 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 KY

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

Practice roles

Locations

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.

• University of Kentucky

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1770771974
  Medicare reassignment NPD
• Hall Family Dental, PLLC

  • Dental Clinic/Center
  • Benton, KY
  • NPI 1487224275
  NPD (past) Authorized official
• University of Kentucky

  dba UK College of Dentistry

  • Dentist
  • Lexington, KY
  • NPI 1306929385

  General Practice

  NPD
• White & White Family Dentistry PSC

  • Dental Clinic/Center
  • Paducah, KY
  • NPI 1740655356
  NPD (past)

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1730340837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 KENTUCKY DAM RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420039472",
            "telephone_number": "270-898-6215",
            "fax_number": "270-898-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 KENTUCKY DAM RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420039472",
            "telephone_number": "270-898-6215",
            "fax_number": "270-898-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "DUSTIN",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Hale, PHARMD, KY LDE
• Elyse A Hale, CST
• Peggy Jo Hale, APRN
• Harold L. Halfhill II, MD
• Courtney Nicole Hall, APRN WHNP-BC
• Jennifer Hall
• Nicole Louise Hall, PHARMD, MBA, BS
• Susan Elizabeth Hall, RN MSN APRN FNP BC
• William Hall, PEER SUPPORT
• Hayley Mykalla Hamblin

• General Practice Dentistry in Paducah, KY
• Providers in Paducah, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.