DR. HALLY J. BACH D.D.S.
NPI 1639150188
Dentist in Watertown, SD

Active since November 10, 2005Opted out of Medicare · through Jun 6, 2027
600 4TH ST NE, SUITE 200, WATERTOWN, SD 57201(605) 882-0747(605) 882-2196 Get Directions Write a Review

NPPES record last updated: April 14, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Hally J. Bach D.d.s. NPPES

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

DR. HALLY J. BACH D.D.S. (NPI 1639150188) is an individual dentist in Watertown, South Dakota, licensed in South Dakota (937) and active in the NPI registry since November 2005. She has opted out of Medicare through June 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639150188
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. HALLY J. BACHCredential: D.D.S.
Location Address600 4TH ST NE, SUITE 200Watertown, SD 57201-1898
Mailing Address600 4th St Ne, Suite 200Watertown, SD 57201-1898 · (605) 882-0747 · Fax (605) 882-2196
Fax(605) 882-2196
Sole ProprietorNo
Enumeration DateNovember 10, 2005
Last NPPES UpdateApril 14, 2011
NPI 1639150188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in SD · 937
Definition
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.
600 4TH ST NE, Watertown, SD 57201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Hally J. Bach D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 6, 2017 through June 6, 2027.

Opt-Out Effective DateJune 6, 2017
Opt-Out In Effect ThroughJune 6, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57201 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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 12

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

Dentist (General Practice)
600 4TH ST NE, SUITE 201
WATERTOWN, SD 57201
Dentist
600 4TH ST NE, SUITE 207
WATERTOWN, SD 57201
Dentist (Orthodontics and Dentofacial Orthopedics)
600 4TH ST NE, SUITE 103
WATERTOWN, SD 57201
Dentist
600 4TH ST NE, STE102
WATERTOWN, SD 57201
Dentist
600 4TH ST NE, SUITE 207
WATERTOWN, SD 57201
Dentist
600 4TH ST NE, STE 102
WATERTOWN, SD 57201
Dentist (Endodontics)
600 4TH ST NE, SUITE 208
WATERTOWN, SD 57201
Dentist (Endodontics)
600 4TH ST NE, SUITE 208
WATERTOWN, SD 57201

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 Hally Bach's NPI number?

The NPI number for Hally Bach is 1639150188. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Hally Bach located?

Hally Bach practices at 600 4th St NE Suite 200, Watertown, SD 57201. The listed phone number is (605) 882-0747.

What is Hally Bach's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Hally Bach enrolled in Medicare?

No. Hally Bach has opted out of Medicare through June 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Hally Bach was last updated on April 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.