Individual provider Active NPI

Dylan Kent Hall, DMD

  • General Practice Dentistry
  • Grottoes, VA
National Provider Identifier
1902467889
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401417798 Issued in VA
Practice address
108 6TH St
Grottoes, VA 24441-1735
Phone
(540) 249-4242
Fax
(540) 249-4732
NPI assigned
Jun 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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 0401417798 VA Primary

Addresses

Primary practice location

108 6TH St
Grottoes, VA 24441-1735

Mailing address

108 6TH St
Grottoes, VA 24441-1735
Phone (540) 249-4242

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Info@marionfamilydentist.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
0401417798VAMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: info@marionfamilydentist.com

NPI Registry JSON

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

{
    "created_epoch": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1902467889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 6TH ST",
            "city": "GROTTOES",
            "state": "VA",
            "postal_code": "244411735",
            "telephone_number": "540-249-4242",
            "fax_number": "828-652-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 6TH ST",
            "city": "GROTTOES",
            "state": "VA",
            "postal_code": "244411735",
            "telephone_number": "540-249-4242",
            "fax_number": "540-249-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "DYLAN",
        "middle_name": "KENT",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-22",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@marionfamilydentist.com",
            "affiliation": "N",
            "endpointDescription": "Marion family Dental",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Marion family dental",
            "address_1": "55 Morgan St",
            "city": "Marion",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287524935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grottoes, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.