Individual provider Active NPI

John B Hallawell, DC

  • Chiropractor
  • Gig Harbor, WA
National Provider Identifier
1720172794
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34020 Issued in WA
Practice address
3309 56TH St NW
Ste 109
Gig Harbor, WA 98335-8572
Phone
(253) 851-3311
Fax
(253) 851-0382
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34020 WA Primary
Chiropractor 111N00000X 283282 OR

Addresses

Primary practice location

3309 56TH St NW
Ste 109
Gig Harbor, WA 98335-8572

Mailing address

3309 56TH St NW
Ste 109
Gig Harbor, WA 98335-8572
Phone (253) 851-3311

Other identifiers 1

IdentifierTypeStateIssuer
0153585OtherWAL & I

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

LicenseStateTypeSpecialty
283282ORMDChiropractor
34020WAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1720172794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 56TH ST NW",
            "address_2": "STE 109",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358572",
            "telephone_number": "253-851-3311",
            "fax_number": "253-851-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 56TH ST NW",
            "address_2": "STE 109",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358572",
            "telephone_number": "253-851-3311",
            "fax_number": "253-851-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLAWELL",
        "first_name": "JOHN",
        "middle_name": "B",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "34020",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "283282",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0153585",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.