Individual provider Active NPI

Michael Morea, D.C.

  • Chiropractor
  • Fruitport, MI
National Provider Identifier
1356449128
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MM008468 Issued in MI
Practice address
388 North Third Avenue
Suite L
Fruitport, MI 49417
Phone
(231) 865-7474
Fax
(231) 865-7484
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 MM008468 MI Primary

Addresses

Primary practice location

388 North Third Avenue
Suite L
Fruitport, MI 49417

Mailing address

388 North Third Avenue
Suite L
Fruitport, MI 49417
Phone (231) 865-7474

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060103000363 MI Practitioner - Chiropractic 0446272637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

388 N 3Rd Ave
Suite L
Fruitport, MI 49415-9794
Phone (231) 865-7474

388 N 3Rd Ave L
Fruitport, MI 49415-9794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MM008468MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Morea Chiropractic Wellness Center LLC Chiropractor CurrentSince Jun 28, 2001 Accepting new patients

Locations

388 N 3rd Ave
Ste L
Fruitport, MI 49415
Phone (231) 865-7474

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356449128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 NORTH THIRD AVENUE",
            "address_2": "SUITE L",
            "city": "FRUITPORT",
            "state": "MI",
            "postal_code": "49417",
            "telephone_number": "231-865-7474",
            "fax_number": "231-865-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 NORTH THIRD AVENUE",
            "address_2": "SUITE L",
            "city": "FRUITPORT",
            "state": "MI",
            "postal_code": "49417",
            "telephone_number": "231-865-7474",
            "fax_number": "231-865-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREA",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "MM008468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruitport, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.