Individual provider Active NPI

Michael Joseph Lacerda, D.C.

  • Chiropractor
  • Morgan Hill, CA
National Provider Identifier
1265582662
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26635 Issued in CA
Practice address
17295 Monterey St
Morgan Hill, CA 95037-4580
Phone
(408) 779-3176
Fax
(408) 779-2627
NPI assigned
Jan 10, 2007
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 DC26635 CA Primary

Addresses

Primary practice location

17295 Monterey St
Morgan Hill, CA 95037-4580

Mailing address

17295 Monterey St
Morgan Hill, CA 95037-4580
Phone (408) 779-3176

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC26635CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lacerda Chiropractic, Inc. Chiropractor Past Accepting new patients

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265582662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17295 MONTEREY ST",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950374580",
            "telephone_number": "408-779-3176",
            "fax_number": "408-779-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17295 MONTEREY ST",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950374580",
            "telephone_number": "408-779-3176",
            "fax_number": "408-779-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACERDA",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.