Individual provider Active NPI

Melissa Ann Glavich

  • Chiropractor
  • Rochester, MI
National Provider Identifier
1003253618
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010095 Issued in MI
Practice address
900 N Main St
Rochester, MI 48307-1432
Phone
(248) 656-1011
NPI assigned
May 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010095 MI Primary

Addresses

Primary practice location

900 N Main St
Rochester, MI 48307-1432

Mailing address

900 N Main St
Rochester, MI 48307-1432
Phone (248) 656-1011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140303001013 MI Practitioner - Chiropractic 2062642580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester Chiropractic Clinic PCGroup PAC ID 5991755795, 3 clinicians

Practice addresses (Care Compare)

900 N Main St
Rochester, MI 48307-1432
Phone (248) 656-1011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010095MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Chiropractic Clinic PC Chiropractor CurrentSince Nov 20, 2013 Accepting new patients
Rochester Chiropractic Clinic Chiropractor PastSince Nov 20, 2013 Accepting new patients

Locations

900 N Main St
Rochester, MI 48307
Phone (248) 656-1011

Networks

  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • IL HMO C-SNP
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • OH PPO

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1003253618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N MAIN ST",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071432",
            "telephone_number": "248-656-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N MAIN ST",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071432",
            "telephone_number": "248-656-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAVICH",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.