Michael L. Hallacker, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC00438 Issued in NJ

Practice address

2764 RT 23 N
Stockholm, NJ 07460

Phone

(973) 697-2800

Fax

(973) 697-7606

NPI assigned

Apr 3, 2007

Last updated

Jul 24, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 1993

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hallacker Chiropractic Center LLC

  • Chiropractor
  • Stockholm, NJ
  • NPI 1811226095
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1447371539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636",
            "city": "STOCKHOLM",
            "state": "NJ",
            "postal_code": "074600636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2764 RT 23 N",
            "city": "STOCKHOLM",
            "state": "NJ",
            "postal_code": "07460",
            "telephone_number": "973-697-2800",
            "fax_number": "973-697-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLACKER",
        "first_name": "MICHAEL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC00438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6798802",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDA",
            "identifier": "201082651",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominick J. Demsak LPC, LLC
• Lariter Meverley Foster, RN
• Regina Marie Goldy
• Gail R. Grozalis, RD,CDE
• Hallacker Chiropractic Center LLC
• Victoria Katherine Kaiser, M.D.
• Linda Marie Kelly, OTR/L
• O&C Inc
• Kaitlyn Claire Terry
• The Therapy Nest

• Chiropractor in Stockholm, NJ
• Providers in Stockholm, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.