Active NPI
John Anthony Prevost III, DC
- Chiropractor
- Holly, MI
National Provider Identifier
1134856305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301401273
- Practice address
- 1016 N Saginaw St
Holly, MI 48442-1379 - Phone
- (248) 328-9800
- NPI assigned
- Aug 6, 2022
- Last updated
- Aug 6, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301401273 | MI | Primary |
Addresses
Primary practice location
1016 N Saginaw St
Holly, MI 48442-1379
Mailing address
2462 Golden Shore Dr
Fenton, MI 48430-1051
Phone (810) 247-2551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1016 N Saginaw St
Suite a
Holly, MI 48442-1379
Phone (248) 328-9800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Care Chiropractic PC | Chiropractor | Current | Accepting new patients |
| Advanced Care Chiropractic PC | Chiropractor | Current | Accepting new patients |
Locations
3160 W Silver Lake Rd
#B
Fenton, MI 48430
Phone (248) 328-9800
1016 N Saginaw St
Ste A
Holly, MI 48442
Phone (248) 328-9800
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Holly, MI
- NPI 1306038732
-
- Chiropractor
- Fenton, MI
- NPI 1003670753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659744000000",
"number": "1134856305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2462 GOLDEN SHORE DR",
"city": "FENTON",
"state": "MI",
"postal_code": "484301051",
"telephone_number": "810-247-2551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 N SAGINAW ST",
"city": "HOLLY",
"state": "MI",
"postal_code": "484421379",
"telephone_number": "248-328-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREVOST",
"first_name": "JOHN",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-06",
"last_updated": "2022-08-06",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301401273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holly, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; 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.