Individual provider Active NPI

Emily Hall, DMD

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1891109682
Registry record updated May 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D008998 Issued in AZ
Practice address
1425 S Greenfield Rd
BLDG 2, Ste 110
Mesa, AZ 85206-5529
Phone
(480) 854-3434
NPI assigned
Jun 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D008998 AZ Primary

Addresses

Primary practice location

1425 S Greenfield Rd
BLDG 2, Ste 110
Mesa, AZ 85206-5529

Mailing address

1425 S Greenfield Rd
BLDG 2, Ste 110
Mesa, AZ 85206-5529
Phone (480) 854-3434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20160126001565 AZ Order and Referring Only - DentistPractitioner - Dentist 2961705983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D008998AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mesa Smiles Dentistry PastSince Dec 13, 2022 Accepting new patients
V2M Dental Care Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432944000000",
    "number": "1891109682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S GREENFIELD RD",
            "address_2": "BLDG 2, STE 110",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065529",
            "telephone_number": "480-854-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S GREENFIELD RD",
            "address_2": "BLDG 2, STE 110",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065529",
            "telephone_number": "480-854-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2015-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.