NPIMap

Organization Active NPI

Hall Dental Group Studio City,PC

  • Dental Clinic/Center
  • Valley Village, CA
National Provider Identifier
1841007390
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HALL DENTAL GROUP STUDIO CITY,PC
Practice address
12840 Riverside Dr Ste 508
Valley Village, CA 91607-3339
Phone
(818) 506-2424
Fax
(818) 763-5679
NPI assigned
Dec 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Dr. Aja H Hall, DDS
Title
Owner
Phone
(925) 405-7781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

12840 Riverside Dr Ste 508
Valley Village, CA 91607-3339

Mailing address

12840 Riverside Dr Ste 508
Valley Village, CA 91607-3339
Phone (818) 506-2424

Other names 1

  • Studio City Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

12840 Riverside Dr
Ste 508
Valley Vlg, CA 91607
Phone (818) 506-2424

Practitioners & affiliated clinicians

Practitioners 6

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": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1841007390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12840 RIVERSIDE DR STE 508",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073339",
            "telephone_number": "818-506-2424",
            "fax_number": "818-763-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12840 RIVERSIDE DR STE 508",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073339",
            "telephone_number": "818-506-2424",
            "fax_number": "818-763-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALL DENTAL GROUP STUDIO CITY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "AJA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-405-7781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Studio City Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.