Individual provider Active NPI

Lisa Jannelle Bell, DC

  • Chiropractor
  • Troy, MI
National Provider Identifier
1114991478
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
LB008450 Issued in MI
Practice address
6585 Rochester Rd
Ste 107
Troy, MI 48085
Phone
(248) 813-0500
Fax
(248) 879-8055
NPI assigned
Feb 14, 2006
Last updated
Aug 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X LB008450 MI Primary

Addresses

Primary practice location

6585 Rochester Rd
Ste 107
Troy, MI 48085

Mailing address

6585 Rochester Rd
Ste 107
Troy, MI 48085
Phone (248) 813-0500

Other names 1

  • Lisa Douglas Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050802000154 MI Practitioner - Chiropractic 8224066261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Advanced Health Chiropractic, PLLCGroup PAC ID 5698703635, 2 clinicians

Practice addresses (Care Compare)

6585 Rochester Rd
Troy, MI 48085-1363
Phone (248) 813-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LB008450MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sam Chan PC Chiropractor Past Accepting new patients
Lawrence a Gralewski Chiropractor Past Accepting new patients
Chiromed Center, Inc Chiropractor Past Accepting new patients

Organizations & group practices 5

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1114991478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6585 ROCHESTER RD",
            "address_2": "STE 107",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48085",
            "telephone_number": "248-813-0500",
            "fax_number": "248-879-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6585 ROCHESTER RD",
            "address_2": "STE 107",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48085",
            "telephone_number": "248-813-0500",
            "fax_number": "248-879-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "LISA",
        "middle_name": "JANNELLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "LB008450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "DOUGLAS",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.