Active NPI
Marco Alberto Paese, D.C.
- Chiropractor
- Lapeer, MI
National Provider Identifier
1306863972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301007600
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3508091 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2301007600 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce K. Sherman, DC, PLLC | Chiropractor | Current | Accepting new patients |
| Dunamis Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Paese Chriopractic | Chiropractor | Past | Accepting new patients |
| Rochester Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
| Caruso Chiropractic Clinic, P.C. | Chiropractor | Past | 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.
-
- Chiropractor
- Lapeer, MI
- NPI 1669956975
-
- Chiropractor
- Oxford, MI
- NPI 1851574156
-
- Chiropractor
- Lapeer, MI
- NPI 1154569358
-
- Chiropractor
- Lake Orion, MI
- NPI 1871685636
-
- Chiropractor
- Rochester, MI
- NPI 1942607106
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.