Organization Active NPI

Chris E Hall OD PC

  • Durable Medical Equipment & Medical Supplies
  • Flint, MI
National Provider Identifier
1356596860
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
MI002793 Issued in MI
Legal business name
CHRIS E HALL OD PC
Practice address
G3548 Flushing Rd
Flint, MI 48504-4255
Phone
(810) 733-2020
Fax
(810) 733-5980
NPI assigned
Nov 25, 2008
Last updated
Nov 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Mrs. Nicole M Droomer
Title
Office Manager
Phone
(810) 733-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MI002793 MI Primary

Addresses

Primary practice location

G3548 Flushing Rd
Flint, MI 48504-4255

Mailing address

G3548 Flushing Rd
Flint, MI 48504-4255
Phone (810) 733-2020

Other identifiers 1

IdentifierTypeStateIssuer
94-1709401MedicaidMI

National Provider Directory

National Provider Directory

Locations

G3548 Flushing Rd
Flint, MI 48504
Phone (810) 733-2020

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1356596860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3548 FLUSHING RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044255",
            "telephone_number": "810-733-2020",
            "fax_number": "810-733-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3548 FLUSHING RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044255",
            "telephone_number": "810-733-2020",
            "fax_number": "810-733-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS E HALL OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "DROOMER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-733-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "MI002793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94-1709401",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.