Individual provider Active NPI

Robert Joseph Stiles, CHIROPRACTOR

  • Chiropractor
  • Novi, MI
National Provider Identifier
1104033455
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
RS002164 Issued in MI
Practice address
43269 Grand River Ave
Novi, MI 48375-1737
Phone
(248) 349-5170
Fax
(248) 349-1997
NPI assigned
May 17, 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 RS002164 MI Primary

Addresses

Primary practice location

43269 Grand River Ave
Novi, MI 48375-1737

Mailing address

43269 Grand River Ave
Novi, MI 48375-1737
Phone (248) 349-5170

Other identifiers 1

IdentifierTypeStateIssuer
950F35034OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130117000033 MI Practitioner - Chiropractic 8628221256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1964
Medicare assignment
May accept Medicare assignment
Group practices
Stiles Chiropractic PCGroup PAC ID 4880847490, 3 clinicians

Practice addresses (Care Compare)

43269 Grand River Ave
FRNT
Novi, MI 48375-1797
Phone (248) 349-5170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RS002164MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stiles Chiropractic, PC Chiropractor CurrentSince May 14, 2012 Accepting new patients

Locations

43269 Grand River Ave
Frnt
Novi, MI 48375
Phone (248) 349-5170

43269 Grand River Ave
Novi, MI 48375
Phone (248) 349-5170

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104033455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43269 GRAND RIVER AVE",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751737",
            "telephone_number": "248-349-5170",
            "fax_number": "248-349-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43269 GRAND RIVER AVE",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751737",
            "telephone_number": "248-349-5170",
            "fax_number": "248-349-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILES",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "RS002164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950F35034",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, 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.
  • 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.