Organization Active NPI

Gary W. Hall Chiropractic Corporation

  • Chiropractor
  • Modesto, CA
National Provider Identifier
1144526179
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC11200 Issued in CA
Legal business name
GARY W. HALL CHIROPRACTIC CORPORATION
Practice address
200 Auto Center CT
Modesto, CA 95356-1573
Phone
(209) 527-5433
Fax
(209) 527-3128
NPI assigned
Feb 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Authorized official

Name
Gary W Hall, D.C.NPI 1942211495
Title
Owner
Phone
(209) 527-5433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC11200 CA Primary

Addresses

Primary practice location

200 Auto Center CT
Modesto, CA 95356-1573

Mailing address

200 Auto Center CT
Modesto, CA 95356-1573
Phone (209) 527-5433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120110000763 CA Part B Supplier - Clinic/Group Practice 7315113594 Receives reassigned benefits from 1 practitioner
Practice locations: Modesto, CA

National Provider Directory

National Provider Directory

Locations

200 Auto Center Ct
Modesto, CA 95356
Phone (209) 527-5433

200 Auto Center Ct
#A1
Modesto, CA 95356
Phone (209) 527-5433

200 Auto Center Ct
Ste A
Modesto, CA 95356
Phone (209) 527-5433

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1144526179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AUTO CENTER CT",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953561573",
            "telephone_number": "209-527-5433",
            "fax_number": "209-527-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AUTO CENTER CT",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953561573",
            "telephone_number": "209-527-5433",
            "fax_number": "209-527-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY W. HALL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-527-5433",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC11200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.