Individual provider Active NPI

Amy Frederick Buck, D.C.

  • Chiropractor
  • Howell, MI
National Provider Identifier
1255436341
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007587 Issued in MI
Practice address
1221 Byron Rd
Suite 4
Howell, MI 48843-1069
Phone
(517) 552-3132
Fax
(517) 552-8463
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 2301007587 MI Primary

Addresses

Primary practice location

1221 Byron Rd
Suite 4
Howell, MI 48843-1069

Mailing address

1221 Byron Rd
Suite 4
Howell, MI 48843-1069
Phone (517) 552-3132

Other identifiers 4

IdentifierTypeStateIssuer
0005986696OtherMIAETNA ID
2301007587OtherMILICENSE
133263OtherMIPREFERRED CHOICE ID
4242251MedicaidMI

Other names 1

  • Dr. Amy Sue Frederick Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060503000119 MI Practitioner - Chiropractic 6103836416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1004 S Michigan Ave
Suite 103
Howell, MI 48843-2681
Phone (517) 552-3132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Chiropractic Clinic, Inc Chiropractor CurrentSince Sep 1, 2000 Accepting new patients

Locations

1221 Byron Rd
Ste 4
Howell, MI 48843
Phone (517) 552-3132

1004 S Michigan Ave
Ste 103
Howell, MI 48843
Phone (517) 552-3132

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1255436341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 BYRON RD",
            "address_2": "SUITE 4",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431069",
            "telephone_number": "517-552-3132",
            "fax_number": "517-552-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 BYRON RD",
            "address_2": "SUITE 4",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431069",
            "telephone_number": "517-552-3132",
            "fax_number": "517-552-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "AMY",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "0005986696",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2301007587",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICE ID",
            "identifier": "133263",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4242251",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "FREDERICK",
            "middle_name": "SUE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.