Active NPI
Marty Jay Hall, D.C.
- Neurology Chiropractor
- Mansfield, TX
National Provider Identifier
1861429789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 3099
- Practice address
- 1200 Arbors Cir
Mansfield, TX 76063-5400 - Phone
- (817) 360-4859
- NPI assigned
- Jun 27, 2006
- Last updated
- Aug 20, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 3099 | TX | Primary |
Addresses
Primary practice location
1200 Arbors Cir
Mansfield, TX 76063-5400
Mailing address
1200 Arbors Cir
Mansfield, TX 76063-5400
Phone (817) 477-1757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10032196 | Medicaid | TX |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1861429789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 ARBORS CIR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760635400",
"telephone_number": "817-477-1757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 ARBORS CIR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760635400",
"telephone_number": "817-360-4859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "MARTY",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "TX",
"license": "3099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10032196",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.