Active NPI
Kevin Ralph Caron, D.C.
- Chiropractor
- Chesterfield, MI
National Provider Identifier
1336492594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301010029
- Practice address
- 27322 23 Mile Rd
Suite 3
Chesterfield, MI 48051-2032 - Phone
- (586) 598-9120
- Fax
- (586) 598-9155
- NPI assigned
- Oct 24, 2012
- 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 | 2301010029 | MI | Primary |
Addresses
Primary practice location
27322 23 Mile Rd
Suite 3
Chesterfield, MI 48051-2032
Mailing address
27322 23 Mile Rd
Suite 3
Chesterfield, MI 48051-2032
Phone (586) 598-9120
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
- Palmer College Chiropractic - Davenport, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
37300 Garfield Rd
Clinton Township, MI 48036-2051
Phone (586) 266-3724
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301010029 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Health PC | Chiropractor | Current | Accepting new patients |
Locations
37300 Garfield Rd
Clinton Twp, MI 48036
Phone (586) 266-3724
37450 Garfield Rd
Ste 250
Clinton Twp, MI 48036
Phone (586) 226-3724
Organizations & group practices 1
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
- Clinton TWP, MI
- NPI 1730571027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351036800000",
"number": "1336492594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27322 23 MILE RD",
"address_2": "SUITE 3",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480512032",
"telephone_number": "586-598-9120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27322 23 MILE RD",
"address_2": "SUITE 3",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480512032",
"telephone_number": "586-598-9120",
"fax_number": "586-598-9155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARON",
"first_name": "KEVIN",
"middle_name": "RALPH",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-24",
"last_updated": "2012-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301010029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.