DR. THOMAS DOUGLAS HALL (NPI# 1891886305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891886305 |
| Entity Type | Individual |
| Full Name | DR. THOMAS DOUGLAS HALL |
| Credential | D.M.D. |
| Practice Address |
211 S Prospect Rd Bloomington IL 61704-4910 |
| Practice Telephone | 3096637339 |
| Practice Fax Number | 3096637131 |
| Mailing Telephone | 3096637339 |
| Mailing Fax Number | 3096637131 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538784558 | Thomas Owen Hall | Student in an Organized Health Care Education/Training Program | 11004 Ne 97th Ave, Vancouver, WA 98662-1578 | 2020-06-15 |
| 1760729958 | Thomas S Hall | Counselor | 805 Ne 65th St, Oklahoma City, OK 73105-6204 | 2013-01-09 |
| 1033381819 | Thomas John Hall | Pharmacist | 10809 E Sky High Dr, Tucson, AZ 85730-5060 | 2008-04-01 |
| 1700905452 | Thomas Joe Hall | Emergency Medicine | 6740 North High Street, Worthington, OH 43085-7500 | 2007-03-27 |
| 1174651608 | Thomas Kent Hall | Radiology | 951 Nw 13th St Ste 1c, Boca Raton, FL 33486-2337 | 2007-02-28 |
| 1922154731 | Thomas Drew Hall | Optometrist | 2829 Great Northern Loop, Suite 100, Missoula, MT 59808-1752 | 2007-01-25 |
| 1689735276 | Thomas Durand Hall | Dentist | 3612 Coffee Rd # A, Bakersfield, CA 93308-5027 | 2006-12-13 |
| 1033287297 | Thomas F Hall | Dentist | 1919 North Loop West Suite 460, Houston, TX 77008 | 2006-12-04 |
| 1710907340 | Thomas Arnold Hall | Psychologist | 1608 Sunrise Ave Ste 5, Suite 5, Modesto, CA 95350-4678 | 2006-07-19 |
| 1174578280 | Thomas Carl Hall | Dermatology | 1329 S Sangre Rd, Stillwater, OK 74074-1854 | 2006-05-24 |
| Street Address |
211 S PROSPECT RD |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-4910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558465583 | Sara Renee Rauen Dardis | Dentist | 211 S Prospect Rd, Bloomington, IL 61704-4910 | 2006-09-11 |
| 1659742930 | Dba Developing Melodies | Music Therapist | 211 S Prospect Rd, Suite 8, Bloomington, IL 61704-4910 | 2015-10-13 |
| 1982878708 | Pediatric Dental Associates of Mclean County, Inc | Clinic/Center | 211 S Prospect Rd, Bloomington, IL 61704-4910 | 2008-04-14 |
| 1952439663 | Jerome Lawrence Flotkoetter | Hearing Instrument Specialist | 211 S Prospect Rd, Suite 6, Bloomington, IL 61704-4910 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063596633 | J Keith Roberts | Dentist | 828 S Auto Mall Rd, Bloomington, IN 47401-5430 | 2006-10-24 |
| 1336156850 | Kyle Wayne Taylor | Dentist | 477 S Landmark Ave, Bloomington, IN 47403-5005 | 2006-08-01 |
| 1598710659 | Donald Wayne Baker | Dentist | 4217 E 3rd St, Bloomington, IN 47401-5550 | 2006-05-24 |
| 1740628619 | Devin Brant Shone | Dentist | 477 S Landmark Ave, Bloomington, IN 47403-5005 | 2013-06-12 |
| 1356634471 | Southern Indiana Pediatric Dentistry, LLC | Dentist | 828 S Auto Mall Rd, Bloomington, IN 47401-5430 | 2011-05-23 |
| 1518290550 | J Keith Roberts Dds LLC | Dentist | 828 S Auto Mall Rd, Bloomington, IN 47401-5430 | 2009-09-09 |
| 1780850628 | Bloomington Pediatric Dentistry L.L.C. | Dentist | 477 S Landmark Ave, Bloomington, IN 47403-5005 | 2008-05-01 |
| 1447450879 | Tamara Lynn Gierke | Dentist | 477 S Landmark Ave, Bloomington, IN 47403-5005 | 2007-07-24 |
| 1376669937 | Robert Frederick Rimstidt | Dentist | 515 S Woodscrest Dr, Bloomington, IN 47401-5524 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709433 | Children's Center for Dentistry | Dentist | 314 Susan Dr, Normal, IL 61761-6206 | 2020-10-26 |
| 1073125746 | Jessica Mattern Dds, Pllc | Dentist | 326 W Burlington Ave, La Grange, IL 60525-2363 | 2020-08-23 |
| 1568925014 | Southern Illinois Pediatric Dentistry of Edwardsville | Dentist | 1419 Lewis Road, Suite 2, Edwardsville, IL 62025 | 2019-04-11 |
| 1710450754 | Drs Selberg & Rice Pllc | Dentist | 4945 Stone Falls Ctr Ste B, O Fallon, IL 62269-7801 | 2019-01-02 |
| 1821583634 | Dentalgenix | Dentist | 113 E Schaumburg Rd, Schaumburg, IL 60194-3518 | 2018-06-25 |
| 1528562253 | Rachel Vorwaller | Dentist | 1460 N Halsted St Ste 403, Chicago, IL 60642-2607 | 2018-03-19 |
| 1942740006 | Dhwani M. Joshi | Dentist | 195 S Rand Rd Ste 110, Lake Zurich, IL 60047-2205 | 2017-03-08 |
| 1316393390 | Erin Marie Petrik | Dentist | 2530 N Clark St, Apt 203, Chicago, IL 60614-4972 | 2016-05-10 |
| 1669839593 | Algonquin Kids Dentistry, Inc | Dentist | 4097 W Algonquin Rd, Algonquin, IL 60102-9401 | 2016-01-22 |
| 1720468598 | Mehedia Haque | Dentist | 2062 N Milwaukee Ave, Chicago, IL 60647 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.