Individual provider Active NPI

Damian Aaron Palmer, D.C.

  • Chiropractor
  • Hesperia, MI
National Provider Identifier
1124100631
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DP007201 Issued in MI
Practice address
81 W South Ave
Hesperia, MI 49421-9702
Phone
(231) 854-1455
Fax
(231) 854-0299
NPI assigned
Oct 20, 2006
Last updated
May 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DP007201 MI Primary

Addresses

Primary practice location

81 W South Ave
Hesperia, MI 49421-9702

Mailing address

81 West South Avenue
Hesperia, MI 49421-9702
Phone (231) 854-1455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071108000544 MI Practitioner - Chiropractic 9335237361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

81 W S Ave
Hesperia, MI 49421-9702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP007201MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Terry Palmer DC PC Chiropractor CurrentSince Oct 31, 2007 Accepting new patients

Locations

81 W South Ave
Hesperia, MI 49421
Phone (231) 854-1455

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, 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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1124100631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 WEST SOUTH AVENUE",
            "city": "HESPERIA",
            "state": "MI",
            "postal_code": "494219702",
            "telephone_number": "231-854-1455",
            "fax_number": "231-854-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 W SOUTH AVE",
            "city": "HESPERIA",
            "state": "MI",
            "postal_code": "494219702",
            "telephone_number": "231-854-1455",
            "fax_number": "231-854-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "DAMIAN",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "DP007201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.