Individual provider Active NPI

Joseph Richard Canu, DC

  • Chiropractor
  • Rochester, MI
National Provider Identifier
1083733901
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
JC005245 Issued in MI
Practice address
900 N Main St
Rochester, MI 48307-1432
Phone
(248) 656-1011
Fax
(658) 656-1966
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X JC005245 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

Other identifiers 1

IdentifierTypeStateIssuer
950F324450OtherMIBCBS MICHIGAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040429000060 MI Practitioner - Chiropractic 3274520457 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
JC005245MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Chiropractic Clinic PC Chiropractor CurrentSince Dec 6, 2004 Accepting new patients
Rochester Chiropractic Clinic Chiropractor PastSince Jan 1, 1990 Accepting new patients

Locations

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

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083733901",
    "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",
            "fax_number": "658-656-1966"
        },
        {
            "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",
            "fax_number": "658-656-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANU",
        "first_name": "JOSEPH",
        "middle_name": "RICHARD",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "JC005245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MICHIGAN",
            "identifier": "950F324450",
            "state": "MI"
        }
    ],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.