Active NPI
Gary A Shoemaker, D.C.
- Chiropractor
- Grosse Pointe Farms, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301004518
- 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
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 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2301004518 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gary a. Shoemaker, D.C. P.C. | Current | 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.