Anthony John Hall, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC24138 Issued in CA

Practice address

28890 Pacific Coast Hwy BLDG a
Malibu, CA 90265

Phone

(310) 589-1005

Fax

(310) 589-1009

NPI assigned

Sep 15, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1063661130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28890 PACIFIC COAST HWY",
            "address_2": "BLDG. A, STE. 205",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "90265",
            "telephone_number": "310-589-1005",
            "fax_number": "310-589-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28890 PACIFIC COAST HWY BLDG A",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "90265",
            "telephone_number": "310-589-1005",
            "fax_number": "310-589-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ANTHONY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "CA",
            "license": "DC24138",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC24138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Dov Greenberg, L. AC.
• Lauren M Greenman, PA-C
• Christiana Dorian Grotlisch, LCSW
• Linda Marie Haack, PHD
• Evan Rhys Haines, PSYD
• Kristy Lynn Hamilton, LCSW
• Karen Hannigan, M.S., CCC-SLP
• Anita Borg Hansen, D.C.
• Christa L Harris, P.T.
• Jeff Harris, M.D.

• Sports Physician Chiropractor in Malibu, CA
• Providers in Malibu, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.