Individual provider Active NPI

Jake Zackary Faubert, D.C

  • Chiropractor
  • Bad Axe, MI
National Provider Identifier
1144036955
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301401571 Issued in MI
Practice address
154 E Huron Ave
Bad Axe, MI 48413-1313
Phone
(989) 269-7011
NPI assigned
Dec 6, 2024
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301401571 MI Primary

Addresses

Primary practice location

154 E Huron Ave
Bad Axe, MI 48413-1313

Mailing address

154 E Huron Ave
Bad Axe, MI 48413-1313
Phone (989) 269-7011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241226001851 MI Practitioner - Chiropractic 5496282725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quest Health Systems PLLCGroup PAC ID 1850481581, 2 clinicians

Practice addresses (Care Compare)

1011 S Van Dyke Rd
Suite a
Bad Axe, MI 48413-9630
Phone (989) 269-7011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quest Health Systems PLLC Chiropractor CurrentSince Jan 1, 2025 Accepting new patients

Locations

1011 S Van Dyke Rd
Ste A
Bad Axe, MI 48413
Phone (989) 269-5015

154 E Huron Ave
Bad Axe, MI 48413
Phone (989) 269-7011

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": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1144036955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 E HURON AVE",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131313",
            "telephone_number": "989-269-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 E HURON AVE",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131313",
            "telephone_number": "989-269-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUBERT",
        "first_name": "JAKE",
        "middle_name": "ZACKARY",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bad Axe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.