Active NPI
James Goodwin Hall, DDS
- General Practice Dentistry
- Wasilla, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 240538
- Practice address
- 3465 E Meridian Park Loop Ste C
Wasilla, AK 99654-7264 - Phone
- (907) 376-9200
- NPI assigned
- Jun 28, 2025
- Last updated
- Jun 28, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 240538 | AK | Primary |
Addresses
Primary practice location
3465 E Meridian Park Loop Ste C
Wasilla, AK 99654-7264
Mailing address
5401 E Windridge Ave
Wasilla, AK 99654-6784
Phone (435) 632-2974
Other practice location 1
110 E Swanson Ave
Wasilla, AK 99654-7024
Phone (907) 376-5207
Other practice location 2
3765 E Blue Lupine Dr Ste A
Wasilla, AK 99654-8417
Phone (907) 215-4223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240538 | AK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lupine Dental LLC | Current | Accepting new patients | |
| Meridian Dental, LLC | General Practice | Past | Accepting new patients |
Locations
3465 E Meridian Park Loop
Ste C
Wasilla, AK 99654
Phone (907) 373-5207
3765 E Blue Lupine Dr
Ste A
Wasilla, AK 99654
Phone (480) 341-0791
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Wasilla, AK
- NPI 1518690676
-
- General Practice Dentistry
- Wasilla, AK
- NPI 1801335856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751068800000",
"number": "1881583623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 E WINDRIDGE AVE",
"city": "WASILLA",
"state": "AK",
"postal_code": "996546784",
"telephone_number": "435-632-2974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3465 E MERIDIAN PARK LOOP STE C",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547264",
"telephone_number": "907-376-9200"
}
],
"practiceLocations": [
{
"address_1": "110 E Swanson Ave",
"address_purpose": "LOCATION",
"city": "Wasilla",
"state": "AK",
"postal_code": "996547024",
"country_code": "US",
"telephone_number": "907-376-5207",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3765 E Blue Lupine Dr Ste A",
"address_purpose": "LOCATION",
"city": "Wasilla",
"state": "AK",
"postal_code": "996548417",
"country_code": "US",
"telephone_number": "907-215-4223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "JAMES",
"middle_name": "GOODWIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-28",
"last_updated": "2025-06-28",
"certification_date": "2025-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AK",
"license": "240538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.