Individual provider Active NPI

Michelle Kathleen Head, D.C.

  • Chiropractor
  • Honesdale, PA
National Provider Identifier
1316138308
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009753 Issued in PA
Practice address
952 Bethany Tpke
Honesdale, PA 18431-4194
Phone
(570) 253-5551
Fax
(570) 253-4164
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009753 PA Primary

Addresses

Primary practice location

952 Bethany Tpke
Honesdale, PA 18431-4194

Mailing address

952 Bethany Tpke
Honesdale, PA 18431-4194
Phone (570) 470-6330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090402000451 PA Practitioner - Chiropractic 6103973441 Practice locations: Honesdale, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

952 Bethany Tpke
Honesdale, PA 18431-4194
Phone (570) 470-6330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC009753PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Natural Health and Wellness, LLC Chiropractor Past Accepting new patients
Himalayan International Institute of Yoga Science and Philosophy Past Accepting new patients

Organizations & group practices 2

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1316138308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 BETHANY TPKE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184314194",
            "telephone_number": "570-470-6330",
            "fax_number": "570-253-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 BETHANY TPKE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184314194",
            "telephone_number": "570-253-5551",
            "fax_number": "570-253-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAD",
        "first_name": "MICHELLE",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honesdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.