A Hall Enterprises, LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

A HALL ENTERPRISES, LLC

Doing business as

Colorado Spine & Wellness Center

Practice address

9695 S Yosemite St Ste 373
Lone Tree, CO 80124-2888

Phone

(303) 257-4966

NPI assigned

Sep 21, 2015

Last updated

Sep 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Robert Hall, M.D.

Title

Owner

Phone

(713) 443-3773

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Colorado Spine & Wellness Center Doing business as

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1215306246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 14TH ST UNIT 3307",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802023279",
            "telephone_number": "713-443-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9695 S YOSEMITE ST STE 373",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242888",
            "telephone_number": "303-257-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A HALL ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-443-3773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21530343",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Spine & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 1918 Winter Street Operating Co LLC (Safeway Pharmacy #1548)
• 303 Denver Chiropractic LLC
• 5280 Pediatric Dentistry
• 5280 Surgical Assisting Professional LLC
• 5280 Vision Care, LLC
• Mahdi Abdelmoneim Mustafa
• Neolani Jay Abney
• Gregory A Achenbach, M.D.
• Action Behavior Centers Therapy LLC
• Action Behavior Centers Therapy LLC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.