Individual provider Active NPI

Rocco J Borg, DO

  • Chiropractor
  • Caro, MI
National Provider Identifier
1073198719
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301011061 Issued in MI
Practice address
758 N State St
Caro, MI 48723-1546
Phone
(989) 672-4141
NPI assigned
Mar 15, 2021
Last updated
May 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301011061 MI Primary

Addresses

Primary practice location

758 N State St
Caro, MI 48723-1546

Mailing address

125 N Ortonville Rd
Ortonville, MI 48462-8531

Other practice location 1

125 N Ortonville Rd
Ortonville, MI 48462-8531
Phone (248) 627-9595

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210601002630 MI Practitioner - Chiropractic 0648679290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

758 N State St
Caro, MI 48723-1546
Phone (989) 672-4141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Wellness Center of Caro PLLC Chiropractor CurrentSince Apr 22, 2021 Accepting new patients
Caro Chiropractic PC Chiropractor CurrentSince Apr 22, 2021 Accepting new patients
Brandon Chiropractic Center PC Chiropractor PastSince Mar 1, 2021 Accepting new patients

Locations

758 N State St
Caro, MI 48723
Phone (989) 672-4141

125 N Ortonville Rd
Ortonville, MI 48462
Phone (248) 627-9595

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1073198719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N ORTONVILLE RD",
            "city": "ORTONVILLE",
            "state": "MI",
            "postal_code": "484628531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 N STATE ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231546",
            "telephone_number": "989-672-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 N Ortonville Rd",
            "address_purpose": "LOCATION",
            "city": "Ortonville",
            "state": "MI",
            "postal_code": "484628531",
            "country_code": "US",
            "telephone_number": "248-627-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORG",
        "first_name": "ROCCO",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301011061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.