Active NPI
Michael William McKellar, D.C.
- Chiropractor
- Farmington Hills, MI
National Provider Identifier
1356624241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301010014
- Practice address
- 24100 Drake Rd
Farmington Hills, MI 48335-3155 - Phone
- (248) 471-5555
- NPI assigned
- Sep 27, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038012038 | IL | |
| Chiropractor | 111N00000X | 2301010014 | MI | Primary |
Addresses
Primary practice location
24100 Drake Rd
Farmington Hills, MI 48335-3155
Mailing address
3170 Seymour Lake Rd
Oxford, MI 48371-4248
Phone (248) 343-1311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2301010014 | Other | MI | CHIROPRACTOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038012038 | IL | MD | Chiropractor |
| 2301010014 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westeron Stephens Chiropractor, P.C. | Chiropractor | Past | Accepting new patients |
| Recovered Chiropractic | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Waterford, MI
- NPI 1417593963
-
- Chiropractor
- Elgin, IL
- NPI 1225145659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479081600000",
"number": "1356624241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3170 SEYMOUR LAKE RD",
"city": "OXFORD",
"state": "MI",
"postal_code": "483714248",
"telephone_number": "248-343-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24100 DRAKE RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483353155",
"telephone_number": "248-471-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKELLAR",
"first_name": "MICHAEL",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-27",
"last_updated": "2016-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038012038",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301010014",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTOR",
"identifier": "2301010014",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.