Michael Gerard Hallam, DMD MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Practice address

334 W Main St
Decatur, IL 62522-2406

Phone

(217) 428-0003

Fax

(217) 428-0022

NPI assigned

Jan 25, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972658037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 W MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625222406",
            "telephone_number": "217-428-0003",
            "fax_number": "217-428-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 W MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625222406",
            "telephone_number": "217-428-0003",
            "fax_number": "217-428-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLAM",
        "first_name": "MICHAEL",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "DMD MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Leanne Hall, APRN, FNP-C
• Andrew Joseph Hall, D.C.
• Leroy Richard Hall, PSY.D
• Renee Hall
• Susan Paige Hall, LCPC, CADC
• Gregory Eugene Hamilton Jr., P.T.
• Renee Hamilton
• Micah Hamm, FNP
• Hanger Prosthetics & Orthotics, Inc.
• Michelle Hanson, LCPC

• Endodontics in Decatur, IL
• Providers in Decatur, IL by specialty
• Endodontics in Illinois

• 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.