KENNETH HALE (NPI# 1447736186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447736186 |
| Entity Type | Individual |
| Full Name | KENNETH HALE |
| Credential | DMD |
| Practice Address |
167 North Main Street Tuba City AZ 86045 |
| Mailing Address |
4833 Lindsey Blair Ln Knoxville TN 37918-6839 |
| Practice Telephone | 9282832590 |
| Practice Fax Number | 9282832591 |
| Mailing Telephone | 8657711987 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 10821 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578056511 | Kenneth Leon Hale II | Social Worker | 4449 N 12th St, Phoenix, AZ 85014-4520 | 2018-06-13 |
| 1225403751 | Kenneth Hale Sr. | Social Worker | 4449 N 12th St, Phoenix, AZ 85014-4520 | 2015-12-09 |
| 1497801344 | Kenneth Lee Hale | Dentist | 25 Red Jacket St, Dansville, NY 14437-9517 | 2007-01-25 |
| 1801816442 | Kenneth Hale | Anesthesiology | 420 34th St, Bakersfield, CA 93301-2237 | 2006-07-19 |
| Street Address |
167 NORTH MAIN STREET |
| City | TUBA CITY |
| State | AZ |
| Zip Code | 86045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906645 | Thomas Joseph Peters | Orthopaedic Surgery | 167 North Main Street, Tuba City, AZ 86045-0600 | 2005-07-15 |
| 1134696412 | Young Chou | Pharmacist | 167 North Main Street, Tuba City, AZ 86045 | 2018-10-25 |
| 1659868024 | Bradley Hilken | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2018-04-20 |
| 1811484314 | Elizabeth Sullivan | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2018-04-19 |
| 1093217945 | Scott Cerreta | Respiratory Therapist, Registered | 167 North Main Street, Po Box 600, Tuba City, AZ 86045-0600 | 2018-03-07 |
| 1821502287 | Rachel Dye | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-21 |
| 1467965319 | Amber Vaughn | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-14 |
| 1639682701 | Roselita Sloan | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-13 |
| 1306359518 | Debra Marshall | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-09 |
| 1346753811 | Sophie Maxwell | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434206 | Ambrielle Grace Begay | Specialist/Technologist | 48 Turquoise Drive, Tuba City, AZ 86045 | 2020-10-12 |
| 1063028124 | Fresenius Medical Care Tuba City, LLC | Clinic/Center | 50 S. Main Street, Ste 108, Tuba City, AZ 86045 | 2020-09-23 |
| 1609422484 | Rebekah Lee | Pharmacist | 167 North Main St. Tuba City Regional Health Care Corp., Tuba City, AZ 86045 | 2019-08-16 |
| 1861977050 | Kyle C Nguyen | Pharmacist | 3008 E. Birch Ave, Tuba City, AZ 86045 | 2018-10-03 |
| 1518419845 | John Glenn Ives | Pharmacist | 167 N, Main St, Tuba City, AZ 86045 | 2016-11-03 |
| 1497208433 | Toweringrock Non-emergency Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 1029 E. Tc North Side Trailer, 36.153821-111.233925, Tuba City, AZ 86045 | 2016-07-26 |
| 1699153270 | Hopi Assisted Living Facility Inc. | Point of Service | 21 Senior Lane Upper Hud Housing Moenkopi, Hopi Assisted Living, Tuba City, AZ 86045 | 2015-05-14 |
| 1306223870 | Mia Seimy | Driver | Adair Avenue Space #5, Tuba City, AZ 86045 | 2015-05-04 |
| 1033507587 | Tari Carroll | Home Health Aide | Tumbleweed Drive Nha E-3, Tuba City, AZ 86045 | 2015-01-07 |
| 1023452984 | Amanda Bancroft Burrage | Pediatrics | 167 Main St., Tuba City, AZ 86045 | 2013-04-23 |
| Find all providers in zip 86045 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841777067 | Rebekah Lynn Baker | Dentist | 167 Main Street, Tuba City, AZ 86045 | 2018-07-20 |
| 1053897637 | Hannah Noel Despain | Dentist | 167 Main Street, Tuba City, AZ 86045 | 2018-07-17 |
| 1760900567 | Michael Choi | Dentist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-09-01 |
| 1407238611 | Sarah Wheeler | Dentist | 167 N Main St, Tuba City, AZ 86045-0600 | 2015-06-24 |
| 1003248899 | Kyle Minter Parks | Dentist | 167 N Main St., Tuba City, AZ 86045 | 2013-08-02 |
| 1194089151 | Teresa Diane Kilborn | Dentist | 167 N. Main Street, Tuba City, AZ 86045 | 2012-06-25 |
| 1992012132 | Thomas John Allen | Dentist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2010-09-09 |
| 1922237379 | Jacob A Haslem | Dentist | 167 N Main Street, Tuba City, AZ 86045 | 2009-07-07 |
| 1952537128 | Anthony David Dicello | Dentist | 167 North Main Street, Tuba City, AZ 86045 | 2009-06-02 |
| 1780867556 | Tuba City Regional Health Care Corporation | Dentist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2007-12-14 |
| Find all providers in TUBA CITY | ||||
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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.