Organization Active NPI

Hallacker Chiropractic Center LLC

  • Chiropractor
  • Stockholm, NJ
National Provider Identifier
1811226095
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC00438 Issued in NJ
Legal business name
HALLACKER CHIROPRACTIC CENTER LLC
Practice address
2764 Rte 23
Stockholm, NJ 07460-1326
Phone
(973) 697-2800
Fax
(973) 697-7606
NPI assigned
Dec 16, 2009
Last updated
Dec 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Dr. Michael L. Hallacker, D.C.NPI 1447371539
Title
Owner
Phone
(973) 697-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC00438 NJ Primary

Addresses

Primary practice location

2764 Rte 23
Stockholm, NJ 07460-1326

Mailing address

2764 Rte 23
PO Box 636
Stockholm, NJ 07460-1326
Phone (973) 697-2800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091218000026 NJ Part B Supplier - Clinic/Group Practice 5092855338 Receives reassigned benefits from 1 practitioner
Practice locations: Stockholm, NJ

National Provider Directory

National Provider Directory

Locations

2737 Route 23
Ste 2
Stockholm, NJ 07460
Phone (973) 697-2800

2764 Route 23
Stockholm, NJ 07460
Phone (973) 697-2800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1811226095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 RTE 23",
            "address_2": "PO BOX 636",
            "city": "STOCKHOLM",
            "state": "NJ",
            "postal_code": "074601326",
            "telephone_number": "973-697-2800",
            "fax_number": "973-697-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2764 RTE 23",
            "city": "STOCKHOLM",
            "state": "NJ",
            "postal_code": "074601326",
            "telephone_number": "973-697-2800",
            "fax_number": "973-697-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLACKER CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "HALLACKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-697-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC00438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockholm, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.