Individual provider Active NPI

Richard M Hall, D.C.

  • Chiropractor
  • Alameda, CA
National Provider Identifier
1003908021
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25698 Issued in CA
Practice address
512 Westline Dr
Suite 102
Alameda, CA 94501-7649
Phone
(510) 522-0998
Fax
(510) 522-0997
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25698 CA Primary

Addresses

Primary practice location

512 Westline Dr
Suite 102
Alameda, CA 94501-7649

Mailing address

512 Westline Dr
Suite 102
Alameda, CA 94501-7649
Phone (510) 522-0998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231212001930 CA Practitioner - Chiropractic 6305295676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Chiropractic College WestGroup PAC ID 9234178138, 7 clinicians

Practice addresses (Care Compare)

25001 Industrial Blvd
Hayward, CA 94545-2801
Phone (510) 780-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC25698CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Chiropractic College West Chiropractor CurrentSince Oct 30, 2023 Accepting new patients

Locations

25001 Industrial Blvd
Hayward, CA 94545
Phone (510) 780-4500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003908021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 WESTLINE DR",
            "address_2": "SUITE 102",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945017649",
            "telephone_number": "510-522-0998",
            "fax_number": "510-522-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 WESTLINE DR",
            "address_2": "SUITE 102",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945017649",
            "telephone_number": "510-522-0998",
            "fax_number": "510-522-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.