Active NPI
Rauch Chiropractic Life Center
- Chiropractor
- Sterling Heights, MI
National Provider Identifier
1285852301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 004112
- Legal business name
- RAUCH CHIROPRACTIC LIFE CENTER
- Practice address
- 38904 Dequindre Rd
Sterling Heights, MI 48310-2890 - Phone
- (586) 978-8240
- Fax
- (586) 978-1417
- NPI assigned
- Apr 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Karl Rauch, D.C.
- Title
- Owner
- Phone
- (586) 978-8240
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 004112 | MI | Primary |
Addresses
Primary practice location
38904 Dequindre Rd
Sterling Heights, MI 48310-2890
Mailing address
38904 Dequindre Rd
Sterling Heights, MI 48310-2890
Phone (586) 978-8240
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH500017 | Other | MI | MCARE |
| 0E01416 | Other | MI | BCBS |
| 4740719 | Medicaid | MI | |
| 2112712 | Medicaid | MI | |
| 0E01400 | Other | MI | BCBS GROUP |
| 0E05381 | Other | MI | BCBS |
| 667983 | Other | MI | ACN |
| 151224 | Other | MI | GREATLAKES |
| 11279056 | Other | MI | CAQH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Sterling Heights, MI
- NPI 1093798019
-
- Chiropractor
- Marine City, MI
- NPI 1124480207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1285852301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38904 DEQUINDRE RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483102890",
"telephone_number": "586-978-8240",
"fax_number": "586-978-1417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38904 DEQUINDRE RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483102890",
"telephone_number": "586-978-8240",
"fax_number": "586-978-1417"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAUCH CHIROPRACTIC LIFE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "RAUCH",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "KARL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-978-8240",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "004112",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "CH500017",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0E01416",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4740719",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2112712",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "0E01400",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0E05381",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "667983",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREATLAKES",
"identifier": "151224",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11279056",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.