Robert Clark Hall, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1002145-15 Issued in WI

Practice address

3555 S Kinnickinnic Ave
St Francis, WI 53235-3739

Phone

(414) 744-0634

NPI assigned

Jul 1, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Robert Hall DDS

  • Dentist
  • St Francis, WI
  • NPI 1285310771
  NPD Authorized official

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1770145609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 S KINNICKINNIC AVE",
            "city": "SAINT FRANCIS",
            "state": "WI",
            "postal_code": "532353739",
            "telephone_number": "414-744-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 S KINNICKINNIC AVE",
            "city": "ST FRANCIS",
            "state": "WI",
            "postal_code": "532353739",
            "telephone_number": "414-744-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ROBERT",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002145-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aditi Gupta, M.D.
• Katelyn Vana Haasch, PA-C
• Orlin Hadjiev, MD
• Cara Sue Hall, RDH,BS
• Jeffrey P Hall, DPM
• Katherine Ann Hallenbeck, MD
• Wendy S Halser, PA
• Sarah K Hambrook, M.D.
• Massihullah Hamidi, M.D., PH.D.
• Robin Harding, RDH

• General Practice Dentistry in St Francis, WI
• Providers in St Francis, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.