Active NPI
Donald E Joffrion, D.C.
- Rehabilitation Chiropractor
- Otsego, MI
National Provider Identifier
1235347337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 2301004635
- Practice address
- 1515 102ND Ave
Otsego, MI 49078-9643 - Phone
- (269) 685-9559
- Fax
- (269) 694-5681
- NPI assigned
- May 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 2301004635 | MI | Primary |
Addresses
Primary practice location
1515 102ND Ave
Otsego, MI 49078-9643
Mailing address
1515 102ND Ave
Otsego, MI 49078-9643
Phone (269) 685-9559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950Z350130 | Other | MI | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301004635 | MI | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275523200000",
"number": "1235347337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 102ND AVE",
"city": "OTSEGO",
"state": "MI",
"postal_code": "490789643",
"telephone_number": "269-685-9559",
"fax_number": "269-694-5681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 102ND AVE",
"city": "OTSEGO",
"state": "MI",
"postal_code": "490789643",
"telephone_number": "269-685-9559",
"fax_number": "269-694-5681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOFFRION",
"first_name": "DONALD",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-20",
"last_updated": "2010-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "MI",
"license": "2301004635",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "950Z350130",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Otsego, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.