Matthew Hallam, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5086-12 Issued in WI

Practice address

1541 Bellevue St Ste 5
Green Bay, WI 54311-6266

Phone

(920) 465-0101

Fax

(920) 468-1510

NPI assigned

May 7, 2015

Last updated

Mar 22, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Dr Hallam Chiropractic LLCGroup PAC ID 8729348941, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr Hallam Chiropractic LLC

  dba Chiropractic Healing and Arts

  • Chiropractor
  • Green Bay, WI
  • NPI 1053836148
  Medicare reassignment Care Compare group NPD Authorized official
• Arbour Chiropractic Inc.

  • Chiropractor
  • Green Bay, WI
  • NPI 1689886517
  NPD (past)

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1982082277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W1835 PEARL ST",
            "city": "SEYMOUR",
            "state": "WI",
            "postal_code": "541657936",
            "telephone_number": "920-422-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 BELLEVUE ST STE 5",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116266",
            "telephone_number": "920-465-0101",
            "fax_number": "920-468-1510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 N Broadway",
            "address_2": "250",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543032704",
            "country_code": "US",
            "telephone_number": "920-393-9403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLAM",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-07",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5086-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Hale
• Cindy Halford, LPC, MSE
• Ashley M Hall, MSN, APNP, FNP-BC
• Maggie Hall, RDH
• Devyn Raylee Halla, COTA
• Amanda Rose Hallas Huff, AU.D.
• Robert W Haller, MD
• Brooke Hallet, SACIT
• Thomas Joseph Halloin, MD
• Eric J Hallquist, MD

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.