Individual provider Active NPI

Robert Harold Skouson, DC

  • Chiropractor
  • Lapeer, MI
National Provider Identifier
1184634271
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008066 Issued in MI
Practice address
911 Baldwin Rd
Ste a
Lapeer, MI 48446
Phone
(810) 664-1111
Fax
(810) 664-7199
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008066 MI Primary

Addresses

Primary practice location

911 Baldwin Rd
Ste a
Lapeer, MI 48446

Mailing address

911 Baldwin Rd
Ste a
Lapeer, MI 48446
Phone (810) 664-1111

Other identifiers 1

IdentifierTypeStateIssuer
4262675MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070416000559 MI Practitioner - Chiropractic 0648375980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1811 W Genesee St
Lapeer, MI 48446-1705
Phone (810) 664-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301008066MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Chiropractic LLC Chiropractor CurrentSince Apr 8, 2007 Accepting new patients

Locations

911 Baldwin Rd
Ste A
Lapeer, MI 48446
Phone (810) 441-4239

1811 W Genesee St
Lapeer, MI 48446
Phone (810) 664-1111

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184634271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 BALDWIN RD",
            "address_2": "STE A",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "48446",
            "telephone_number": "810-664-1111",
            "fax_number": "810-664-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BALDWIN RD",
            "address_2": "STE A",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "48446",
            "telephone_number": "810-664-1111",
            "fax_number": "810-664-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOUSON",
        "first_name": "ROBERT",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4262675",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.