Individual provider Active NPI

Stephen Christopher Michlin, D.C., B.C.A.O.

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1164615944
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9115 Issued in TX
Practice address
6324 Camp Bowie Blvd
Fort Worth, TX 76116-5418
Phone
(817) 810-9111
Fax
(817) 506-1809
NPI assigned
Aug 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9115 TX Primary

Addresses

Primary practice location

6324 Camp Bowie Blvd
Fort Worth, TX 76116-5418

Mailing address

6324 Camp Bowie Blvd
Fort Worth, TX 76116-5418
Phone (817) 810-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100622000257 TX Practitioner - ChiropracticPractitioner - Other (Physician) 8527199470 Reassigns benefits to 1 organization
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9115TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick M. Vogel, DC PC Chiropractor Past Accepting new patients
Mediterranean Association PLLC Chiropractor Past Accepting new patients
William F Goss DC I PLLC Chiropractor PastSince Jul 20, 2016 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1164615944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6324 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165418",
            "telephone_number": "817-810-9111",
            "fax_number": "817-506-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6324 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165418",
            "telephone_number": "817-810-9111",
            "fax_number": "817-506-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHLIN",
        "first_name": "STEPHEN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C., B.C.A.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-24",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.