Individual provider Active NPI

Richard Lee Semlow, DC

  • Chiropractor
  • Plymouth, MI
National Provider Identifier
1306807243
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007178 Issued in MI
Practice address
247 N Main St
Plymouth, MI 48170-1238
Phone
(734) 455-2145
Fax
(734) 455-2825
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007178 MI Primary

Addresses

Primary practice location

247 N Main St
Plymouth, MI 48170-1238

Mailing address

247 N Main St Ste a
Plymouth, MI 48170-1238
Phone (734) 455-2145

Other identifiers 4

IdentifierTypeStateIssuer
0P16150001OtherMIMEDICARE ADVANTAGE
950F328340OtherMIBLUE CARE NETWORK
950F32834OtherMIBCBS
0P16150001OtherMIMEDICARE PLUS BLUE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050527000597 MI Practitioner - Chiropractic 1052353562 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rumph Chiropractic Clinic PCGroup PAC ID 0840390076, 3 clinicians

Practice addresses (Care Compare)

5732 Williams Lake Rd
Waterford, MI 48329-3274
Phone (248) 673-1215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301007178MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rumph Chiropractic Clinic PC Chiropractor CurrentSince Nov 20, 2024 Accepting new patients
Susan N Blaskay DC PC Chiropractor CurrentSince Mar 18, 2024 Accepting new patients
Michigan Chiropractic Specialists of Waterford, P.C. Chiropractor PastSince Nov 21, 2017 Accepting new patients

Locations

11837 Merriman Rd
Livonia, MI 48150
Phone (734) 421-0101

5732 Williams Lake Rd
Waterford, MI 48329
Phone (248) 673-1215

Organizations & group practices 3

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1306807243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 N MAIN ST STE A",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701238",
            "telephone_number": "734-455-2145",
            "fax_number": "734-455-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 N MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701238",
            "telephone_number": "734-455-2145",
            "fax_number": "734-455-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMLOW",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE",
            "identifier": "0P16150001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "950F328340",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950F32834",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PLUS BLUE",
            "identifier": "0P16150001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.