Individual provider Active NPI

Sandra M Hall, D.C.

  • Chiropractor
  • Redding, CA
National Provider Identifier
1730321365
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29823 Issued in CA
Practice address
2650 Larkspur LN Ste H
Redding, CA 96002-1034
Phone
(530) 221-4200
NPI assigned
Mar 27, 2009
Last updated
Dec 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29823 CA Primary

Addresses

Primary practice location

2650 Larkspur LN Ste H
Redding, CA 96002-1034

Mailing address

2650 Larkspur LN Ste H
Redding, CA 96002-1034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110627000232 CA Practitioner - Chiropractic 5395923189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2650 Larkspur LN
Suite H
Redding, CA 96002-1034
Phone (530) 423-3917

2650 Larkspur LN H
Redding, CA 96002-1034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29823CAMDChiropractor
29823CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sandra Hall DC Chiropractic Professional Corporation Chiropractor CurrentSince Dec 28, 2021 Accepting new patients
Moffitt Chiropractic Inc Chiropractor PastSince Apr 28, 2010 Accepting new patients

Locations

2650 Larkspur Ln
Ste H
Redding, CA 96002
Phone (530) 206-3328

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1730321365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 LARKSPUR LN STE H",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 LARKSPUR LN STE H",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021034",
            "telephone_number": "530-221-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SANDRA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.

Verify at the official NPI Registry.