Active NPI
Angela Hall, D.C
- Chiropractor
- Poynette, WI
National Provider Identifier
1720194418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4142-012
- Practice address
- 110 N Main St
Poynette, WI 53955-9329 - Phone
- (608) 635-8915
- Fax
- (608) 635-8901
- NPI assigned
- Aug 22, 2006
- Last updated
- Jan 18, 2013
- Sex
- Female
- 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 | 4142-012 | WI | Primary |
Addresses
Primary practice location
110 N Main St
Poynette, WI 53955-9329
Mailing address
PO Box 398
Poynette, WI 53955-0398
Phone (608) 635-8915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38962200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1000 Links Dr
Suite 1
Poynette, WI 53955-8323
Phone (608) 635-8915
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4142-012 | WI | MD | Chiropractor |
| 4142 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Valley Eye Care PLC | Past | Accepting new patients | |
| Marengo Chiropractic & Wellness Center, PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- Poynette, WI
- NPI 1659439164
-
- Optometrist
- Marengo, IA
- NPI 1396185005
-
- Chiropractor
- Marengo, IA
- NPI 1427135300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358467200000",
"number": "1720194418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 398",
"city": "POYNETTE",
"state": "WI",
"postal_code": "539550398",
"telephone_number": "608-635-8915",
"fax_number": "608-635-8901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N MAIN ST",
"city": "POYNETTE",
"state": "WI",
"postal_code": "539559329",
"telephone_number": "608-635-8915",
"fax_number": "608-635-8901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "ANGELA",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2013-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4142-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38962200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poynette, WI
- Heather Fortune
- Greenbush Oaks, Inc (Poynette Counseling & Psychotherapy Assoc)
- Haag Mental Health Consulting, Inc.
- Velma Haag, ACSW, CICSW
- Hall Family Chiropractic & Wellness Center, SC
- Sara J Hausser, CCC-SLP
- Curtis S Hossman, LPC
- Journey of Peace Homecare LLC
- Michelle Marie Kaschinske, OTR
- Ira S Kastenberg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.