Samuel Larsen Hallows, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7764 Issued in AZ

Practice address

6750 E Main St Ste 108
Mesa, AZ 85205-9049

Phone

(480) 985-0720

NPI assigned

Oct 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Balance Chiropractic LLC

  • Chiropractor
  • Mesa, AZ
  • NPI 1427115773
  Medicare reassignment NPD
• Smith Multi-Care PLC

  • Chiropractor
  • Mesa, AZ
  • NPI 1285759381
  NPD (past)

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579392000000",
    "number": "1245327394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7165 E UNIVERSITY DR",
            "address_2": "STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852076400",
            "telephone_number": "480-985-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 E MAIN ST STE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852059049",
            "telephone_number": "480-985-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLOWS",
        "first_name": "SAMUEL",
        "middle_name": "LARSEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "4447",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Carroll Hall, M.S.W.
• Lori A Hallam, LMFT
• Hallmark Hospice LLC
• Hallmark Hospice of Massachusetts, LLC
• Hallmark Hospice of Northern California, LLC
• Dalenor R. Halls, P.A.-C
• Mickia Ashlynn Hallsted
• Aaron David Hallstrom, PHD, LIAC
• Shannon Hallstrom, LPC
• Margaret Hallums, LPN

• Chiropractor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2020; 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.