Ty Hall, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6093 Issued in MN

Practice address

14050 Pilot Knob Rd Ste 120
Apple Valley, MN 55124-6648

Phone

(952) 423-5050

Fax

(952) 423-4560

NPI assigned

May 27, 2015

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heffernan Enterprises PLLC

  dba East Valley Chiropractic

  • Clinic/Center
  • Apple Valley, MN
  • NPI 1598165862
  Medicare reassignment NPD
• Pratt Family Chiropractic LLC

  • Chiropractor
  • Rochester, MN
  • NPI 1649532698
  NPD

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205215910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 W BROADWAY AVE",
            "address_2": "SUITE 310",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554225604",
            "telephone_number": "763-746-1244",
            "fax_number": "763-746-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 PILOT KNOB RD STE 120",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246648",
            "telephone_number": "952-423-5050",
            "fax_number": "952-423-4560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4080 W Broadway Ave",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Robbinsdale",
            "state": "MN",
            "postal_code": "554225604",
            "country_code": "US",
            "telephone_number": "763-746-1244",
            "fax_number": "763-746-1246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "TY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Hagan, CCC, SLP
• Jennifer Anne Hagen
• Brooke Hager
• Hermela Daniel Haileyesus, NP
• Michele Anne Hake, RN
• Lucas Hamm
• Andrea Hannem, PHARMD
• Sierra Hanowski, DC
• Bryce Hansen, LICSW
• Eric E Hansen, LMFT

• Chiropractor in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.