Organization Active NPI

Teresa Hall DDS Inc

  • Customized Equipment (DME)
  • Roseville, CA
National Provider Identifier
1972956902
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
TERESA HALL DDS INC
Practice address
953 Pleasant Grove Blvd
Ste 140
Roseville, CA 95678-6150
Phone
(916) 772-6248
NPI assigned
Jul 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Authorized official

Name
Teresa Hall, DDS
Title
Owner
Phone
(916) 772-6248

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

953 Pleasant Grove Blvd
Ste 140
Roseville, CA 95678-6150

Mailing address

953 Pleasant Grove Blvd
Ste 140
Roseville, CA 95678-6150
Phone (916) 772-6248

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1972956902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 PLEASANT GROVE BLVD",
            "address_2": "STE 140",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786150",
            "telephone_number": "916-772-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 PLEASANT GROVE BLVD",
            "address_2": "STE 140",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786150",
            "telephone_number": "916-772-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA HALL DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-772-6248",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.