Brian Haller DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

013842 Issued in MO

Legal business name

BRIAN HALLER DMD LLC

Practice address

602 W 6TH St
Rolla, MO 65401-2941

Phone

(573) 364-7969

NPI assigned

Oct 15, 2008

Last updated

Oct 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Haller, DMDNPI 1336348457

Title

Owner

Phone

(573) 364-7969

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Haller, D.M.D.

  • General Practice Dentistry
  • Rolla, MO
  • NPI 1336348457
  NPD (past) Authorized official

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1942452545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 393",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654020393",
            "telephone_number": "573-364-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W 6TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012941",
            "telephone_number": "573-364-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN HALLER DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "HALLER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-364-7969",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "013842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita R Bowen, RNC, WHNP
• Thomas Brent Bowen, DMD, MS
• Anna June Bray, MA, LPC
• Breakthrough Counseling LLC
• Jennifer Lynn Bremer, P.A.
• Elaine Diane Briggs, DNP,APRN, FNP-BC
• Victoria Elaine Britton, M.A./PLPC
• Amanda Brooks, RN
• Angela M Brooks, RPH
• Bryan Wesley Brooks, PHARM.D.

• General Practice Dentistry in Rolla, MO
• Providers in Rolla, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.