Individual provider Active NPI

Kelly Michele Hall, D.C.

  • Chiropractor
  • Danville, CA
National Provider Identifier
1093740763
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22816 Issued in CA
Practice address
205 Sycamore Valley Rd W
Danville, CA 94526-3947
Phone
(925) 837-5595
Fax
(925) 837-6558
NPI assigned
Jul 11, 2006
Sex
Female
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 DC22816 CA Primary

Addresses

Primary practice location

205 Sycamore Valley Rd W
Danville, CA 94526-3947

Mailing address

205 Sycamore Valley Rd W
Danville, CA 94526-3947
Phone (925) 837-5595

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070503000664 CA Practitioner - Chiropractic 6103922372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

318 Diablo Rd
Suite 245
Danville, CA 94526-3464
Phone (925) 290-1830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC22816CAMDChiropractor
22816CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hall Family Chiropractic Inc Chiropractor CurrentSince Sep 12, 2003 Accepting new patients
Fuller Chiropractic Inc Chiropractor Past Accepting new patients
Madeline Duncan Chiropractic Corporation Chiropractor PastSince Feb 2, 2025 Accepting new patients

Locations

318 Diablo Rd
Ste 245
Danville, CA 94526
Phone (925) 290-1830

205 Sycamore Valley Rd W
Danville, CA 94526
Phone (925) 832-5595

Organizations & group practices 3

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093740763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SYCAMORE VALLEY RD W",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263947",
            "telephone_number": "925-837-5595",
            "fax_number": "925-837-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SYCAMORE VALLEY RD W",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263947",
            "telephone_number": "925-837-5595",
            "fax_number": "925-837-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KELLY",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, 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.