Active NPI
Emily Hall, DMD
- General Practice Dentistry
- Mesa, AZ
National Provider Identifier
1891109682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D008998
- Practice address
- 1425 S Greenfield Rd
BLDG 2, Ste 110
Mesa, AZ 85206-5529 - Phone
- (480) 854-3434
- NPI assigned
- Jun 19, 2014
- Last updated
- May 30, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160126001565 | AZ | Order and Referring Only - Dentist | 2961705983 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mesa Smiles Dentistry | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.