Individual provider Active NPI

Kevin Ralph Caron, D.C.

  • Chiropractor
  • Chesterfield, MI
National Provider Identifier
1336492594
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010029 Issued in MI
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

Updated by the provider on Oct 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20130125000093 MI Practitioner - Chiropractic 0345494464 Reassigns benefits to 1 organization

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
Performance Health PCGroup PAC ID 5799004792, 2 clinicians

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

LicenseStateTypeSpecialty
2301010029MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Health PC Chiropractor CurrentSince Sep 1, 2019 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.

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.

Verify at the official NPI Registry.