Individual provider Active NPI

Jeffrey Karl Rauch, D.C.

  • Chiropractor
  • Sterling Heights, MI
National Provider Identifier
1093798019
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
JR004112 Issued in MI
Practice address
38904 Dequindre Rd
Sterling Heights, MI 48310-2890
Phone
(586) 978-8240
Fax
(586) 978-1417
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X JR004112 MI Primary

Addresses

Primary practice location

38904 Dequindre Rd
Sterling Heights, MI 48310-2890

Mailing address

38904 Dequindre Rd
Sterling Heights, MI 48310-2890
Phone (586) 978-8240

Other identifiers 6

IdentifierTypeStateIssuer
0E01416OtherMIBCN
10404OtherMICAPE HEALTH
950E014160OtherMIBCBS OF MI
2112712MedicaidMI
CH500017OtherMIMCARE
4371021OtherMAAETNA PPO MANAGE CARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080102000148 MI Practitioner - Chiropractic 4385724475 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Sterling Heights, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
JR004112MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kern Chiropractic PLLC Chiropractor CurrentSince May 1, 2022 Accepting new patients
Rauch Chiropractic Life Center Chiropractor PastSince Jan 1, 1990 Accepting new patients

Locations

37300 Dequindre Rd
Ste 112
Sterling Hts, MI 48310
Phone (586) 825-2313

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1093798019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38904 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102890",
            "telephone_number": "586-978-8240",
            "fax_number": "586-978-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38904 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102890",
            "telephone_number": "586-978-8240",
            "fax_number": "586-978-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUCH",
        "first_name": "JEFFREY",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "JR004112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "0E01416",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPE HEALTH",
            "identifier": "10404",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "950E014160",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2112712",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "CH500017",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO MANAGE CARE",
            "identifier": "4371021",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.