Individual provider Active NPI

Gary A Shoemaker, D.C.

  • Chiropractor
  • Grosse Pointe Farms, MI
National Provider Identifier
1346366275
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004518 Issued in MI
Practice address
18720 Mack Ave
Suite 120
Grosse Pointe Farms, MI 48236-2993
Phone
(313) 886-8030
Fax
(313) 886-4350
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301004518 MI Primary

Addresses

Primary practice location

18720 Mack Ave
Suite 120
Grosse Pointe Farms, MI 48236-2993

Mailing address

18720 Mack Ave
Suite 120
Grosse Pointe Farms, MI 48236-2993
Phone (313) 886-8030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051102000056 MI Practitioner - Chiropractic 4486671120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gary a Shoemaker DC PCGroup PAC ID 5496772139, 2 clinicians

Practice addresses (Care Compare)

18720 Mack Ave
Suite 120
Grosse Pointe Farms, MI 48236-2957
Phone (313) 886-8030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301004518MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gary a. Shoemaker, D.C. P.C. CurrentSince Nov 1, 2005 Accepting new patients

Locations

17266 Mack Ave
Ste B
Grosse Pointe, MI 48230
Phone (313) 886-8030

18720 Mack Ave
Ste 120
Grosse Pointe Farms, MI 48236
Phone (313) 886-8030

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1346366275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18720 MACK AVE",
            "address_2": "SUITE 120",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482362993",
            "telephone_number": "313-886-8030",
            "fax_number": "313-886-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18720 MACK AVE",
            "address_2": "SUITE 120",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482362993",
            "telephone_number": "313-886-8030",
            "fax_number": "313-886-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "GARY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.