Individual provider Active NPI

Richard Everett Hall, DDS, MD, PHD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Buffalo, NY
National Provider Identifier
1871606376
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
197678 Issued in NY
Practice address
3435 Main St
112 Squire Hall, Building 32
Buffalo, NY 14214-3001
Phone
(716) 829-6637
Fax
(716) 829-3019
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 035807 NY
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 197678 NY Primary

Addresses

Primary practice location

3435 Main St
112 Squire Hall, Building 32
Buffalo, NY 14214-3001

Mailing address

3435 Main St
112 Squire Hall, Building 32
Buffalo, NY 14214-3001
Phone (716) 829-6637

Other identifiers 1

IdentifierTypeStateIssuer
00840235MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110823000698 NY Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 0345410700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
State Un of Ny, Buffalo School of Dental Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ub Oral and Maxillofacial Surgery, IncGroup PAC ID 4385813625, 3 clinicians

Practice addresses (Care Compare)

3435 Main St
Buffalo, NY 14214-3001
Phone (716) 829-6004

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
80.2
Improvement activities
40
Cost
72.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
197678NYMDOral & Maxillofacial Surgery (D.M.D.)
035807NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Erie County Medical Center Corporation CurrentSince Aug 24, 2011 Accepting new patients
Erie County Medical Center Corporation CurrentSince Aug 24, 2011 Accepting new patients
Ub Oral & Maxillofacial Surgery, Inc Oral and Maxillofacial Surgery CurrentSince Jul 3, 2011 Accepting new patients

Locations

3435 Main St
Bldg 32
Buffalo, NY 14214
Phone (716) 662-7183

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1871606376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 MAIN ST",
            "address_2": "112 SQUIRE HALL, BUILDING 32",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142143001",
            "telephone_number": "716-829-6637",
            "fax_number": "716-829-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 MAIN ST",
            "address_2": "112 SQUIRE HALL, BUILDING 32",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142143001",
            "telephone_number": "716-829-6637",
            "fax_number": "716-829-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "RICHARD",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "DDS, MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "035807",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "197678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00840235",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.