Active NPI
Mikilena A.G. Hall, DMD
- Endodontics
- Lebanon, NH
National Provider Identifier
1922448281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 04280
- Practice address
- 367 Route 120 Unit B3
Lebanon, NH 03766-1430 - Phone
- (603) 643-6100
- NPI assigned
- Jul 1, 2013
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 04280 | NH | Primary |
Addresses
Primary practice location
367 Route 120 Unit B3
Lebanon, NH 03766-1430
Mailing address
367 Route 120 Unit B3
Lebanon, NH 03766-1430
Phone (603) 643-6100
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 |
|---|---|---|---|
| 04280 | NH | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montshire Endodontics PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Lebanon, NH
- NPI 1467669283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1922448281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 ROUTE 120 UNIT B3",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661430",
"telephone_number": "603-643-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367 ROUTE 120 UNIT B3",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661430",
"telephone_number": "603-643-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "MIKILENA",
"middle_name": "A.G.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-01",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NH",
"license": "04280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.