William Tuttle Hall, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3116 Issued in NC

Practice address

107 Dowitcher Street
Nags Head, NC 27959-0000

Phone

(252) 480-1001

Fax

(252) 480-0196

NPI assigned

May 4, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Chiropractic PCGroup PAC ID 4688615057, 2 clinicians

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.

• Advanced Chiropractic, P.C.

  • Chiropractor
  • Nags Head, NC
  • NPI 1316905318
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1306894530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1451",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279591451",
            "telephone_number": "252-480-1001",
            "fax_number": "252-480-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 DOWITCHER STREET",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279590000",
            "telephone_number": "252-480-1001",
            "fax_number": "252-480-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "WILLIAM",
        "middle_name": "TUTTLE",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085PJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hudson Goscinski, MSW, LCSW
• Jonelle Ulep Haigh, D.O.
• Christine Bui Hall, D.C.
• Jaclyn Eva Hall, RDN, LDN
• Philip Isaac Hall, DO
• Jennifer Daugherty Halloran, MD
• Tracey Elizabeth Beard Hansel, M.D.
• David W Hargraves, DC
• Jennifer Needs Demartino Harrison, DO
• Troy Haupt, CRNA

• Chiropractor in Nags Head, NC
• Providers in Nags Head, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.