Active NPI
Michael Anthony Phelps, D.C.
- Chiropractor
- Martinsville, IN
National Provider Identifier
1275519555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001309
- Practice address
- 690 E Morgan St
Martinsville, IN 46151-1640 - Phone
- (765) 342-2208
- Fax
- (765) 342-2327
- NPI assigned
- Dec 19, 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 | 08001309 | IN | Primary |
Addresses
Primary practice location
690 E Morgan St
Martinsville, IN 46151-1640
Mailing address
690 E Morgan St
Martinsville, IN 46151-1640
Phone (765) 342-2208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100186900A | Medicaid | IN |
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 |
|---|---|---|---|
| 08001309 | IN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1275519555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 E MORGAN ST",
"city": "MARTINSVILLE",
"state": "IN",
"postal_code": "461511640",
"telephone_number": "765-342-2208",
"fax_number": "765-342-2327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 E MORGAN ST",
"city": "MARTINSVILLE",
"state": "IN",
"postal_code": "461511640",
"telephone_number": "765-342-2208",
"fax_number": "765-342-2327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100186900A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Martinsville, IN
- Emily Pasch
- Rolan A Pascual, MD
- Kenisha Renee Peden, LCSW
- Benjamin Phan, DDS
- Emma Phelps
- Philip H. Nowak, O.D., P.C.
- Pinnacle Treatment Centers in-I, LLC (Recovery Works Morgan)
- Pinnacle Treatment Centers in-I, LLC (Recovery Works Martinsville)
- Pinnacle Treatment Centers in-II, LLC (Martinsville Treatment Services)
- Giesla Potter, RDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.