Hales Dental Practice, PC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

D6777 Issued in OK

Legal business name

HALES DENTAL PRACTICE, PC

Practice address

781 NE 7TH St
Suite B
Grants Pass, OR 97526-1654

Phone

(541) 474-1100

Fax

(541) 471-1103

NPI assigned

Feb 2, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jimmie Bob Hales, DDS

Title

Owner

Phone

(541) 474-1100

Specialties & licenses 1

Addresses

Other names 1

• Angellift Dental Center Doing business as

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1831637537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 NE 7TH ST",
            "address_2": "SUITE B",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261654",
            "telephone_number": "541-474-1100",
            "fax_number": "541-471-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 NE 7TH ST",
            "address_2": "SUITE B",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261654",
            "telephone_number": "541-474-1100",
            "fax_number": "541-471-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALES DENTAL PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "HALES",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_middle_name": "BOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-474-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OK",
            "license": "D6777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angellift Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robyn Hager
• Angela Marie Hagerty, MSN, APRN, FNP-C
• Josh Haggans, AAS,CADC
• Haggen Opco North LLC
• Hales Dental Practice, PC
• Alexandra Hall, M.S.
• Barbara Louise Hall
• Elizabeth Renee Hall, LMT
• Emmeline Grace Hall
• Matthew Wayne Hall, MD

• Customized Equipment (DME) in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Customized Equipment (DME) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.