Organization Active NPI

Halley's Family Dental Care, PLLC

  • General Practice Dentistry
  • Stillwater, OK
National Provider Identifier
1982822268
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5711 Issued in OK
Legal business name
HALLEY'S FAMILY DENTAL CARE, PLLC
Practice address
806 S Pine St
Stillwater, OK 74074-4349
Phone
(405) 377-1155
Fax
(405) 377-1914
NPI assigned
Apr 23, 2007
Last updated
Dec 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Dr. Jessica Michelle Halley, D.D.SNPI 1972580538
Title
Co-Owner
Phone
(405) 377-1155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5711 OK Primary

Addresses

Primary practice location

806 S Pine St
Stillwater, OK 74074-4349

Mailing address

806 S Pine St
Stillwater, OK 74074-4349
Phone (405) 377-1155

National Provider Directory

National Provider Directory

Locations

806 S Pine St
Stillwater, OK 74074
Phone (405) 377-1155

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1982822268",
    "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": {
        "organization_name": "HALLEY'S FAMILY DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "HALLEY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "405-377-1155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.