Individual provider Active NPI

Robert Michaud, DC

  • Chiropractor
  • Kalamazoo, MI
National Provider Identifier
1013487909
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010727 Issued in MI
Practice address
606 N 9TH St
Kalamazoo, MI 49009-3960
Phone
(269) 389-0345
Fax
(269) 365-9509
NPI assigned
Dec 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010727 MI Primary

Addresses

Primary practice location

606 N 9TH St
Kalamazoo, MI 49009-3960

Mailing address

606 N 9TH St
Kalamazoo, MI 49009-3960
Phone (269) 389-0345

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190108002144 MI Practitioner - Chiropractic 1153667480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resilience Chiropractic LLCGroup PAC ID 0244576577, 3 clinicians

Practice addresses (Care Compare)

606 N 9TH St
Kalamazoo, MI 49009-3960
Phone (269) 389-0345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010727MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Chiropractic LLC Chiropractor CurrentSince Jan 7, 2019 Accepting new patients

Locations

606 N 9th St
Kalamazoo, MI 49009
Phone (269) 389-0345

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": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1013487909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 N 9TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093960",
            "telephone_number": "269-389-0345",
            "fax_number": "269-365-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N 9TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093960",
            "telephone_number": "269-389-0345",
            "fax_number": "269-365-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAUD",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.