Individual provider Active NPI

Marco Alberto Paese, D.C.

  • Chiropractor
  • Lapeer, MI
National Provider Identifier
1306863972
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007600 Issued in MI
Practice address
1112 S Lapeer Rd Ste B
Lapeer, MI 48446-3396
Phone
(810) 245-1111
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007600 MI Primary

Addresses

Primary practice location

1112 S Lapeer Rd Ste B
Lapeer, MI 48446-3396

Mailing address

736 Woodleigh Way
Oxford, MI 48371-5172
Phone (248) 933-8138

Other identifiers 1

IdentifierTypeStateIssuer
3508091MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070801000537 MI Practitioner - Chiropractic 0941391213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1112 S Lapeer Rd
Suite B
Lapeer, MI 48446-3396
Phone (810) 245-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301007600MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce K. Sherman, DC, PLLC Chiropractor CurrentSince Oct 8, 2018 Accepting new patients
Dunamis Chiropractic LLC Chiropractor CurrentSince Dec 28, 2017 Accepting new patients
Paese Chriopractic Chiropractor PastSince Jan 1, 1990 Accepting new patients
Rochester Chiropractic Clinic Chiropractor Past Accepting new patients
Caruso Chiropractic Clinic, P.C. Chiropractor PastSince Aug 1, 2004 Accepting new patients

Locations

1112 S Lapeer Rd
Ste B
Lapeer, MI 48446
Phone (810) 245-1111

Organizations & group practices 5

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1306863972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 WOODLEIGH WAY",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483715172",
            "telephone_number": "248-933-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S LAPEER RD STE B",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463396",
            "telephone_number": "810-245-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAESE",
        "first_name": "MARCO",
        "middle_name": "ALBERTO",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3508091",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.