Organization Active NPI

Jared a Hall DPM PC

  • Durable Medical Equipment & Medical Supplies
  • Show Low, AZ
National Provider Identifier
1821519018
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0667 Issued in AZ
Legal business name
JARED A HALL DPM PC
Practice address
1500 E Woolford Rd Ste 101
Show Low, AZ 85901-7105
Phone
(928) 537-4111
Fax
(928) 532-1123
NPI assigned
Jun 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jean Collins
Title
Office Manager
Phone
(928) 537-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0667 AZ Primary

Addresses

Primary practice location

1500 E Woolford Rd Ste 101
Show Low, AZ 85901-7105

Mailing address

1500 E Woolford Rd Ste 101
Show Low, AZ 85901-7105
Phone (928) 537-4111

Other identifiers 1

IdentifierTypeStateIssuer
271532MedicaidAZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821519018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E WOOLFORD RD STE 101",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017105",
            "telephone_number": "928-537-4111",
            "fax_number": "928-532-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E WOOLFORD RD STE 101",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017105",
            "telephone_number": "928-537-4111",
            "fax_number": "928-532-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED A HALL DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-537-4111"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "0667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271532",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.