Jessica M Halley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5711 Issued in OK

Practice address

806 S Pine St
Stillwater, OK 74074-4349

Phone

(405) 377-1155

Fax

(405) 377-1914

NPI assigned

Dec 26, 2005

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Halley's Family Dental Care, PLLC

  • General Practice Dentistry
  • Stillwater, OK
  • NPI 1982822268
  NPD (past) Authorized official

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

{
    "created_epoch": "1135555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972580538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 S PINE ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744349",
            "telephone_number": "405-377-1155",
            "fax_number": "405-377-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 S PINE ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744349",
            "telephone_number": "405-377-1155",
            "fax_number": "405-377-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLEY",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60291",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9177275",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rahmah Firdaus Hall, PA-C
• Robin B. Hall, M.D.
• Tayler Hall, LPC
• Thomas Carl Hall, MD
• Jerryca Bailey Haller-Kirby, M.S.
• Vincen James Halley, D.D.S
• Halley's Family Dental Care, PLLC
• Najma Hamdani, MD
• Gerald Ercel Hammond
• Pamela Hammonds

• General Practice Dentistry in Stillwater, OK
• Providers in Stillwater, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.