Dr Hallam Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5086-12 Issued in WI

Legal business name

DR HALLAM CHIROPRACTIC LLC

Doing business as

Chiropractic Healing and Arts

Practice address

1541 Bellevue St Ste 5
Green Bay, WI 54311-6266

Phone

(920) 465-0101

Fax

(920) 468-1510

NPI assigned

Aug 9, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Hallam, D.C.NPI 1982082277

Title

Member

Phone

(920) 465-0101

Specialties & licenses 1

Addresses

Other names 1

• Chiropractic Healing and Arts Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Hallam, D.C.

  • Chiropractor
  • Green Bay, WI
  • NPI 1982082277
  Medicare reassignment Care Compare group NPD Authorized official
• Alan W Resch, D.C.

  • Chiropractor
  • Green Bay, WI
  • NPI 1962481564
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053836148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 BELLEVUE ST STE 5",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116266",
            "telephone_number": "920-465-0101",
            "fax_number": "920-468-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 BELLEVUE ST STE 5",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116266",
            "telephone_number": "920-465-0101",
            "fax_number": "920-468-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HALLAM CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HALLAM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "920-465-0101",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5086-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Healing and Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Elaine Jean Doxtator, SAC-IT
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• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.