Halle N Waters, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

30-024031 Issued in OH

Practice address

3865 Rocky River Dr
Suite 7
Cleveland, OH 44111-4114

Phone

(216) 941-4900

Fax

(216) 941-1419

NPI assigned

Jul 12, 2013

Sex

Female

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 OH

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 and National Provider Directory roles.

• Halle N Waters DMD Inc

  • General Practice Dentistry
  • North Ridgeville, OH
  • NPI 1679383103
  NPD Authorized official
• Riveredge Dentistry Inc

  • Dentist
  • Cleveland, OH
  • NPI 1659389385
  NPD (past)

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1730520107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 ROCKY RIVER DRIVE",
            "address_2": "SUITE 7",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44111",
            "telephone_number": "216-941-4900",
            "fax_number": "216-941-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 ROCKY RIVER DR",
            "address_2": "SUITE 7",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441114114",
            "telephone_number": "216-941-4900",
            "fax_number": "216-941-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "HALLE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-024031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana R Wasserman, MD
• Megan Kate Wasson
• Sang Kit Wat, RPH, PHARMD, MPH
• Shota Watanabe, M.D.
• Gwendolyn Waters
• Kristen Anne Waters, MD, MPH
• Thomas Andrew Waters, M.D.
• Tina Elizabeth Waters, M.D.
• William David Waters
• William Emerick Waters, D.D.S.

• Dentist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.