Andrew Padden, D.C.
Individual provider Active NPI Chiropractor · Lakeview, MI
NPI 1154728210 · NPPES record last updated Jan 20, 2015
Key facts
- NPI
- 1154728210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301010286 (MI)
- Practice address
- 960 S Lincoln Ave
Lakeview, MI 48850-9178 - Phone
- (989) 352-8283
- Fax
- (989) 352-5723
- NPI assigned
- Dec 4, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakeview Family Chiropractors, Inc
Practice addresses (Care Compare)
960 S Lincoln Ave
Lakeview, MI 48850-9178
Phone (989) 352-8283
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150213000524 | MI | Practitioner - Chiropractic | 4981929916 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Family Chiropractors Inc | Chiropractor | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301010286 | MI | Yes |
Addresses
Primary practice location
960 S Lincoln Ave
Lakeview, MI 48850-9178
Mailing address
960 S Lincoln Ave
PO Box 649
Lakeview, MI 48850-9178
Phone (989) 818-0876
Other providers in Lakeview, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2015. 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.