Hal Thomas Macon Sapp – General Practice Dentistry

Key facts

NPI: 1811099476
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 5953 (NC)
Practice address: 3612 Shannon Rd
Suite 205
Durham, NC 27707-6329
Phone: (919) 489-9171
Fax: (919) 493-1088
NPI assigned: Sep 3, 2006
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

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.

Baxter B. Sapp, Jr, DDS & HT Macon Sapp, DDS, PA General Practice Dentistry · Durham, NC · NPI 1376569624

NPD (past) Authorized official GENERAL PRACTICE

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
5953	NC	MD	Chiropractor

Practice roles

Organization	Specialty	Status	New patients
Baxter B. Sapp, Jr, DDS & HT Macon Sapp, DDS, PA	General Practice	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	5953	NC	Yes

Addresses

Primary practice location

3612 Shannon Rd
Suite 205
Durham, NC 27707-6329

Mailing address

3612 Shannon Rd
Suite 205
Durham, NC 27707-6329
Phone (919) 489-9171

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811099476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 SHANNON RD",
            "address_2": "SUITE 205",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076329",
            "telephone_number": "919-489-9171",
            "fax_number": "919-493-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 SHANNON RD",
            "address_2": "SUITE 205",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076329",
            "telephone_number": "919-489-9171",
            "fax_number": "919-493-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPP",
        "first_name": "HAL THOMAS",
        "middle_name": "MACON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

All providers in Durham, NC · General Practice Dentistry in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.