Individual provider Active NPI

Cara Hope Phillips, D.C.

  • Chiropractor
  • Flat Rock, MI
National Provider Identifier
1053552372
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009545 Issued in MI
Practice address
29100 Gateways Blvd.
Suite 100
Flat Rock, MI 48134
Phone
(734) 379-9200
Fax
(734) 379-9229
NPI assigned
Mar 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009545 MI Primary

Addresses

Primary practice location

29100 Gateways Blvd.
Suite 100
Flat Rock, MI 48134

Mailing address

31231 Fernwood St
Westland, MI 48186-5098
Phone (248) 767-3063

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090522000159 MI Practitioner - Chiropractic 0042369076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Porter and Clark Chiropractic PLLCGroup PAC ID 4183771140, 3 clinicians

Practice addresses (Care Compare)

29100 Gateway Blvd
Flat Rock, MI 48134-2764
Phone (734) 379-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Porter & Clark Chiropractic PLLC Chiropractor CurrentSince Aug 6, 2014 Accepting new patients
Awan and Associates PC Past Accepting new patients

Locations

29100 Gateway Blvd
Ste 100
Flat Rock, MI 48134
Phone (734) 379-9200

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": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1053552372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31231 FERNWOOD ST",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865098",
            "telephone_number": "248-767-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29100 GATEWAYS BLVD.",
            "address_2": "SUITE 100",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "48134",
            "telephone_number": "734-379-9200",
            "fax_number": "734-379-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CARA",
        "middle_name": "HOPE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-17",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flat Rock, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.