Charles R Hall, DDS,MS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

AL2558 Issued in AL

Practice address

1110 Meridian St N
Huntsville, AL 35801-4636

Phone

(256) 428-7276

Fax

(256) 428-7259

NPI assigned

Mar 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Heals Inc

  • Otolaryngology Physician
  • Huntsville, AL
  • NPI 1841346236
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912021247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 MERIDIAN ST N",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014636",
            "telephone_number": "256-428-7276",
            "fax_number": "256-428-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 MERIDIAN ST N",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014636",
            "telephone_number": "256-428-7276",
            "fax_number": "256-428-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CHARLES",
        "middle_name": "R",
        "credential": "DDS,MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "AL2558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51517173",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009911665",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elisa Jane Haley, MD
• Heather L. Haley, D.O.
• Stacey Bryan Haley
• Karina Halilova
• Amy Hall, WHNP-BC
• Dawn Gooch Hall, RD
• Ginger Engle Hall
• Kathryn Martin Hall, LICSW-S
• Lainie Hall, CRNP
• Matthew Hall, CRNA

• Pediatric Dentistry in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Pediatric Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.