Individual provider Active NPI

Michael W Hall, DC

  • Neurology Chiropractor
  • Lewisville, TX
National Provider Identifier
1477578409
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
5455 Issued in TX
Practice address
2452 Sunderland LN
Lewisville, TX 75067-6716
Phone
(972) 304-9146
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 5455 TX Primary

Addresses

Primary practice location

2452 Sunderland LN
Lewisville, TX 75067-6716

Mailing address

2452 Sunderland LN
Lewisville, TX 75067-6716
Phone (972) 304-9146

Other practice location 1

6170 Sherry Ln Ste 300
Dallas, TX 75225-6352
Phone (214) 373-0002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5455TXMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Braindc, PC Neurology Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1477578409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 SUNDERLAND LN",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750676716",
            "telephone_number": "972-304-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 SUNDERLAND LN",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750676716",
            "telephone_number": "972-304-9146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6170 Sherry Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752256352",
            "country_code": "US",
            "telephone_number": "214-373-0002",
            "fax_number": "214-373-0566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "TX",
            "license": "5455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.