Individual provider Active NPI

Chris J Dall, PA-C

  • Surgical Physician Assistant
  • Hamden, CT
National Provider Identifier
1184855017
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2288 Issued in CT
Practice address
2408 Whitney Ave
Hamden, CT 06518-3209
Phone
(203) 407-3500
Fax
(203) 407-4244
NPI assigned
Jul 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2288 CT
Surgical Physician Assistant 363AS0400X 2288 CT Primary

Addresses

Primary practice location

2408 Whitney Ave
Hamden, CT 06518-3209

Mailing address

2408 Whitney Ave
Hamden, CT 06518-3209
Phone (203) 626-0160

Other practice location 1

701 N Colony Rd
Wallingford, CT 06492-2407
Phone (203) 265-1800

Other practice location 2

2416 Whitney Ave Ste 3
Hamden, CT 06518-3249
Phone (203) 752-3100

Other practice location 3

84 N Main St
Branford, CT 06405-3061
Phone (203) 483-2509

Other practice location 4

330 Bridgeport Ave
Shelton, CT 06484-3861
Phone (203) 538-0020

Other practice location 5

235 Boston Post Rd
Orange, CT 06477-3229
Phone (203) 795-4784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090923000457 CT Practitioner - Physician Assistant 5799831376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Orthopaedic Specialists PCGroup PAC ID 7315850039, 184 clinicians

Practice addresses (Care Compare)

235 Boston Post Rd
Orange, CT 06477-3229
Phone (203) 795-4784

2408 Whitney Ave
Hamden, CT 06518-3209
Phone (203) 407-3500

2416 Whitney Ave
Hamden, CT 06518-3248

701 N Colony Rd
Wallingford, CT 06492-2407
Phone (203) 265-1800

84 N Main St
Branford, CT 06405-3061
Phone (203) 483-2509

Merit-based Incentive Payment System (MIPS)

Final score
87.81 of 100Reported as group
Quality
79.31
Promoting interoperability
100
Improvement activities
40
Cost
80.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Orthopaedic Specialists, PC Physician Assistant CurrentSince Jun 28, 2017 Accepting new patients
Connecticut Orthopaedic Specialists, PC CurrentSince Jun 28, 2017 Accepting new patients

Locations

84 N Main St
Ofc
Branford, CT 06405

84 N Main St
Branford, CT 06405
Phone (203) 483-2015

12 Bokum Rd
Essex, CT 06426
Phone (860) 767-9035

2408 Whitney Ave
Hamden, CT 06518
Phone (203) 407-3500

2416 Whitney Ave
Ste 3
Hamden, CT 06518
Phone (203) 281-6636

330 Bridgeport Ave
Shelton, CT 06484
Phone (203) 538-0020

701 N Colony Rd
Wallingford, CT 06492
Phone (203) 265-1800

Interoperability endpoints

  • Direct secure messaging: chrisj.dall@xdr.hhchealthdirect.org

Organizations & group practices 2

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": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1184855017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183209",
            "telephone_number": "203-626-0160",
            "fax_number": "203-294-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183209",
            "telephone_number": "203-407-3500",
            "fax_number": "203-407-4244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 N Colony Rd",
            "address_purpose": "LOCATION",
            "city": "Wallingford",
            "state": "CT",
            "postal_code": "064922407",
            "country_code": "US",
            "telephone_number": "203-265-1800",
            "fax_number": "203-284-9010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2416 Whitney Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065183249",
            "country_code": "US",
            "telephone_number": "203-752-3100",
            "fax_number": "203-752-9291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "84 N Main St",
            "address_purpose": "LOCATION",
            "city": "Branford",
            "state": "CT",
            "postal_code": "064053061",
            "country_code": "US",
            "telephone_number": "203-483-2509",
            "fax_number": "203-483-2513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Bridgeport Ave",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "CT",
            "postal_code": "064843861",
            "country_code": "US",
            "telephone_number": "203-538-0020",
            "fax_number": "203-538-0023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CT",
            "postal_code": "064773229",
            "country_code": "US",
            "telephone_number": "203-795-4784",
            "fax_number": "203-799-1179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALL",
        "first_name": "CHRIS",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "2288",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "2288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.