Damian Aaron Palmer, D.C.
Individual provider Active NPI Chiropractor · Hesperia, MI
NPI 1124100631 · NPPES record last updated May 20, 2014
Key facts
- NPI
- 1124100631
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DP007201 (MI)
- Practice address
- 81 W South Ave
Hesperia, MI 49421-9702 - Phone
- (231) 854-1455
- Fax
- (231) 854-0299
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071108000544 | MI | Practitioner - Chiropractic | 9335237361 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DP007201 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terry Palmer DC PC | Chiropractor | Current |
Accepting new patients |
Locations
81 W South Ave
Hesperia, MI 49421
Phone (231) 854-1455
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DP007201 | MI | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3281611 | Medicaid | MI |
Other providers in Hesperia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.