Active NPI
Robert Hallick, DC
- Chiropractor
- East Aurora, NY
National Provider Identifier
1194310730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 008756
- Practice address
- 38 Elm St
East Aurora, NY 14052-2543 - Phone
- (716) 946-9642
- NPI assigned
- Mar 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 008756 | NY | Primary |
Addresses
Primary practice location
38 Elm St
East Aurora, NY 14052-2543
Mailing address
5400 E Creek Rd
South Wales, NY 14139-9761
Phone (716) 946-9642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008756 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1194310730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 E CREEK RD",
"city": "SOUTH WALES",
"state": "NY",
"postal_code": "141399761",
"telephone_number": "716-946-9642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 ELM ST",
"city": "EAST AURORA",
"state": "NY",
"postal_code": "140522543",
"telephone_number": "716-946-9642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLICK",
"first_name": "ROBERT",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-05",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "008756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Aurora, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.