Individual provider Active NPI

Eugene Z Haller, D.C.

  • Chiropractor
  • East Hampton, NY
National Provider Identifier
1205984333
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X002066-1 Issued in NY
Practice address
34 Fieldview LN
East Hampton, NY 11937-2902
Phone
(631) 324-1037
Fax
(631) 329-8958
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X002066-1 NY Primary

Addresses

Primary practice location

34 Fieldview LN
East Hampton, NY 11937-2902

Mailing address

34 Fieldview LN
East Hampton, NY 11937-2902
Phone (631) 324-1037

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
X002066-1NYMDChiropractor
002066NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Medical Wellness, P.C. Past Accepting new patients
Hampton Chiropractic PC Chiropractor PastSince Sep 1, 2010 Accepting new patients

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205984333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 FIELDVIEW LN",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119372902",
            "telephone_number": "631-324-1037",
            "fax_number": "631-329-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 FIELDVIEW LN",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119372902",
            "telephone_number": "631-324-1037",
            "fax_number": "631-329-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLER",
        "first_name": "EUGENE",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X002066-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.