David R Hall, D.C.
Individual provider Active NPI Chiropractor · Williamstown, WV
NPI 1669446142 · NPPES record last updated Jun 17, 2013
Key facts
- NPI
- 1669446142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 794 (WV)
- Practice address
- 443 Highland Ave
Williamstown, WV 28167 - Phone
- (304) 375-6000
- Fax
- (304) 375-6043
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1505 Grand Central Ave
Suite 7
Vienna, WV 26105-1074
Phone (681) 588-0396
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040505000089 | WV | Practitioner - Chiropractic | 8527056993 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3299 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Hall Chiropractic, LLC | Chiropractor | Current |
Accepting new patients |
| Dexter Chiropractic | Chiropractor | Past | Accepting new patients |
| Marietta Health and Wellness Center LLC | Chiropractor | Past | Accepting new patients |
| Hall Chiropractic Health & Wellness Center PLLC | Chiropractor | Past |
Accepting new patients |
Locations
1505 Grand Central Ave
Ste 7
Vienna, WV 26105
Phone (681) 588-0396
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 794 | WV | Yes |
| Chiropractor | 111N00000X | 3299 | OH |
Addresses
Primary practice location
443 Highland Ave
Williamstown, WV 28167
Mailing address
443 Highland Ave
Williamstown, WV 26187-1247
Phone (304) 375-6000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2202109000 | Medicaid | WV | |
| 2330016 | Medicaid | OH |
Other providers in Williamstown, WV
- Allison Elizabeth Green
- Brandon Paul Gregory
- Brantley D Guckert
- Cara Hale
- Eileen Jane Hale
- Betty Ann Halstead
- Tomi Madison Harbert
- Sarah Alice Harper
- Robin Cook Hart
- Michelle Lee Hathaway
All providers in Williamstown, WV · Chiropractor in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.