Active NPI
Ronald Michael Boggs, DC
- Chiropractor
- Lathrup Village, MI
National Provider Identifier
1265416614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301005293
- Practice address
- 26245 Southfield Rd
Lathrup Village, MI 48076-4546 - Phone
- (248) 569-0366
- Fax
- (248) 569-5843
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301005293 | MI | Primary |
Addresses
Primary practice location
26245 Southfield Rd
Lathrup Village, MI 48076-4546
Mailing address
26245 Southfield Rd
Lathrup Village, MI 48076-4546
Phone (248) 569-0366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
477 W Nepessing St
Lapeer, MI 48446-2106
Phone (810) 664-4185
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301005293 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cummings Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Tariq Omar MD PC | Past | Accepting new patients | |
| S. Talib Raza, P.C. | Past | Accepting new patients | |
| Sacred Hope Center, Inc | Past | Accepting new patients |
Locations
452 S Main St
Lapeer, MI 48446
Phone (810) 664-4185
477 W Nepessing St
Lapeer, MI 48446
Phone (810) 664-4185
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.
-
- Chiropractor
- Lapeer, MI
- NPI 1245546126
-
- Pulmonary Disease Physician
- Riverview, MI
- NPI 1356470355
-
- Clinic/Center
- Southfield, MI
- NPI 1295744472
-
- Pulmonary Disease Physician
- Southfield, MI
- NPI 1538355516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1265416614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26245 SOUTHFIELD RD",
"city": "LATHRUP VILLAGE",
"state": "MI",
"postal_code": "480764546",
"telephone_number": "248-569-0366",
"fax_number": "248-569-5843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26245 SOUTHFIELD RD",
"city": "LATHRUP VILLAGE",
"state": "MI",
"postal_code": "480764546",
"telephone_number": "248-569-0366",
"fax_number": "248-569-5843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGGS",
"first_name": "RONALD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301005293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lathrup Village, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.