Active NPI
Chris C Haller, D.C.
- Chiropractor
- Fredericksburg, VA
National Provider Identifier
1699869057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104000187
- Practice address
- 3940 Plank Rd.
Suite J
Fredericksburg, VA 22407-6869 - Phone
- (540) 786-2002
- Fax
- (540) 786-4402
- NPI assigned
- Oct 2, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104000187 | VA | Primary |
Addresses
Primary practice location
3940 Plank Rd.
Suite J
Fredericksburg, VA 22407-6869
Mailing address
3940 Plank Rd.
Suite J
Fredericksburg, VA 22407-6869
Phone (540) 786-2002
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 268811 | Other | VA | ALLIANCE PROVIDER NUMBER |
| 075056 | Other | VA | BLUE CROSS/BLUE SHIELD NO |
| 2269761 | Other | VA | AETNA PROVIDER NUMBER |
| 61145 | Other | VA | SOUTHERN HEALTH NO. |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104000187 | VA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1699869057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3940 PLANK RD.",
"address_2": "SUITE J",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224076869",
"telephone_number": "540-786-2002",
"fax_number": "540-786-4402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3940 PLANK RD.",
"address_2": "SUITE J",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224076869",
"telephone_number": "540-786-2002",
"fax_number": "540-786-4402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLER",
"first_name": "CHRIS",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104000187",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE PROVIDER NUMBER",
"identifier": "268811",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD NO",
"identifier": "075056",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "2269761",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH NO.",
"identifier": "61145",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.