Individual provider Active NPI

Jason R. Hall, D.D.S.

  • Dentist
  • Tulsa, OK
National Provider Identifier
1831227503
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D012777 Issued in AZ
Practice address
6565 S Yale Ave Ste 1100
Tulsa, OK 74136-8360
Phone
(918) 481-4925
Fax
(918) 481-4931
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D012777 AZ Primary
General Practice Dentistry 1223G0001X 5784 OK

Addresses

Primary practice location

6565 S Yale Ave Ste 1100
Tulsa, OK 74136-8360

Mailing address

6565 S Yale Ave Ste 1100
Tulsa, OK 74136-8360
Phone (918) 481-4925

Other practice location 1

14815 W Bell Rd Ste 202
Surprise, AZ 85374-7611
Phone (623) 404-9259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20150611000376 OK Order and Referring Only - DentistPractitioner - Dentist 8426379728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jason R. Hall, D.D.S. General Practice Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1831227503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 S YALE AVE STE 1100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368360",
            "telephone_number": "918-481-4925",
            "fax_number": "918-481-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 S YALE AVE STE 1100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368360",
            "telephone_number": "918-481-4925",
            "fax_number": "918-481-4931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14815 W Bell Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853747611",
            "country_code": "US",
            "telephone_number": "623-404-9259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "JASON",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D012777",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.