Timothy Michael Hale, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

12445 Issued in TX

Practice address

810 S Mason Rd
Ste 325
Katy, TX 77450

Phone

(281) 392-6000

Fax

(281) 392-6811

NPI assigned

Oct 11, 2006

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

Enrolled in TX

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.

• Katy Periodontics Management Inc

  • Periodontics
  • Katy, TX
  • NPI 1518799626
  NPD (past) Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831287929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S MASON RD",
            "address_2": "STE 325",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-392-6000",
            "fax_number": "281-392-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S MASON RD",
            "address_2": "STE 325",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-392-6000",
            "fax_number": "281-392-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "12445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Hagood
• Hah Compassionate Health LLC
• Syed H Haider, M.D.
• Ashma Hakani, LCMSW
• Jennifer Lee Hale, PT, DPT, NCS
• Byron Joe Hall Jr., DDS
• Jennie F Hall, M.D.
• Laura Hall, PA-C
• Lauren Hall
• Michelle Hall

• Periodontics in Katy, TX
• Providers in Katy, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.