Individual provider Active NPI

Danial Allen Hall, D.C.

  • Chiropractor
  • Stillwater, MN
National Provider Identifier
1841304417
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2320 Issued in MN
Practice address
13999 60TH St N
Stillwater, MN 55082-2007
Phone
(651) 430-1515
Fax
(651) 430-1515
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2320 MN Primary
Chiropractor 111N00000X 2186-12 WI

Addresses

Primary practice location

13999 60TH St N
Stillwater, MN 55082-2007

Mailing address

13999 60TH St N
Stillwater, MN 55082-2007
Phone (651) 430-1515

Other identifiers 1

IdentifierTypeStateIssuer
59714HAOtherMNBCBS NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100910001052 MN Practitioner - Chiropractic 0941398358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hall and Hall LTDGroup PAC ID 3779671185, 2 clinicians

Practice addresses (Care Compare)

13999 60TH St N
Stillwater, MN 55082-2007
Phone (651) 303-8446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2186-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hall and Hall, LTD Chiropractor CurrentSince Apr 15, 1999 Accepting new patients

Locations

13999 60th St N
Stillwater, MN 55082
Phone (651) 303-8446

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841304417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13999 60TH ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550822007",
            "telephone_number": "651-430-1515",
            "fax_number": "651-430-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13999 60TH ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550822007",
            "telephone_number": "651-430-1515",
            "fax_number": "651-430-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "DANIAL",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2320",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2186-12",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "59714HA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.