Michael Perry Joseph, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 18837 Issued in CA

Practice address

55 Mitchell Blvd
Ste 10
San Rafael, CA 94903-2010

Phone

(415) 444-0700

Fax

(415) 444-0771

NPI assigned

Oct 21, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1986

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Michael Joseph

  • Chiropractor
  • San Rafael, CA
  • NPI 1053505099
  NPD (past) Authorized official

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1215189410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6382",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949036832",
            "telephone_number": "415-444-0700",
            "fax_number": "415-444-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MITCHELL BLVD",
            "address_2": "STE 10",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032010",
            "telephone_number": "415-444-0700",
            "fax_number": "415-444-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "MICHAEL",
        "middle_name": "PERRY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 18837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancie Elizabeth Jordan, MFT
• Blake Jorgensen, LMFT
• Leighann Jorin, RN PHN
• Joseph H Greenberg LTD a Medical Corp
• Jordana Joseph
• Karen Lynn Josephs, D.C., L.M.F.T.
• Kunjal S. Joshi
• Lauren Jouni
• Journey Behavioral Healthcare
• Georgia Joyce, OTR/L

• Chiropractor in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.