DR. DOUGLAS RAY HALLORAN D.D.S.
NPI 1578770723
Dentist - General Practice in Fresno, CA

Active since May 17, 2007PECOS Enrolled
1100 W SHAW AVE, SUITE 146, FRESNO, CA 93711(559) 224-9925 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Douglas Ray Halloran D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS RAY HALLORAN D.D.S. (NPI 1578770723) is an individual general practice provider in Fresno, California, licensed in California (43532) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578770723
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DOUGLAS RAY HALLORANCredential: D.D.S.
Location Address1100 W SHAW AVE, SUITE 146Fresno, CA 93711-3708
Mailing Address1100 W Shaw Ave, Suite 146Fresno, CA 93711-3708 · (559) 224-9925
Sole ProprietorYes
Enumeration DateMay 17, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1578770723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 43532
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1100 W SHAW AVE, Fresno, CA 93711

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Douglas Ray Halloran D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1100 W SHAW AVE, SUITE 112
FRESNO, CA 93711
Dentist (General Practice)
1100 W SHAW AVE, SUITE 146
FRESNO, CA 93711
Marriage & Family Therapist
1100 W SHAW AVE, SUITE #112
FRESNO, CA 93711
Marriage & Family Therapist
1100 W SHAW AVE, SUITE 116
FRESNO, CA 93711
Dentist
1100 W SHAW AVE, STE 146
FRESNO, CA 93711
Social Worker (Clinical)
1100 W SHAW AVE, SUITE 112
FRESNO, CA 93711
Marriage & Family Therapist
1100 W SHAW AVE
FRESNO, CA 93711
Counselor (Mental Health)
1100 W SHAW AVE, SUITE 112
FRESNO, CA 93711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Halloran's NPI number?

The NPI number for Douglas Halloran is 1578770723. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Douglas Halloran located?

Douglas Halloran practices at 1100 W Shaw Ave Suite 146, Fresno, CA 93711. The listed phone number is (559) 224-9925.

What is Douglas Halloran's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Douglas Halloran enrolled in Medicare?

Yes. Douglas Halloran is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Douglas Halloran was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.