Individual provider Active NPI

Daron Guy Halle, D.C.

  • Chiropractor
  • Peoria, AZ
National Provider Identifier
1154305282
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8002 Issued in AZ
Practice address
8877 W Union Hills Dr
#300
Peoria, AZ 85382-3008
Phone
(623) 583-8190
Fax
(623) 583-8788
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8002 AZ Primary

Addresses

Primary practice location

8877 W Union Hills Dr
#300
Peoria, AZ 85382-3008

Mailing address

8877 W Union Hills Dr
#300
Peoria, AZ 85382-3008
Phone (623) 583-8190

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040714001199 AZ Practitioner - Chiropractic 0648258756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8877 W Union Hills Dr
Suite 300
Peoria, AZ 85382-3016
Phone (623) 583-8190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8002AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ellah Health Specialties, Inc. Chiropractor CurrentSince Sep 1, 2002 Accepting new patients

Locations

8877 W Union Hills Dr
Ste 300
Peoria, AZ 85382
Phone (623) 583-8190

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1154305282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8877 W UNION HILLS DR",
            "address_2": "#300",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823008",
            "telephone_number": "623-583-8190",
            "fax_number": "623-583-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8877 W UNION HILLS DR",
            "address_2": "#300",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823008",
            "telephone_number": "623-583-8190",
            "fax_number": "623-583-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLE",
        "first_name": "DARON",
        "middle_name": "GUY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.