Mark Manteuffel, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301002969 Issued in MI

Practice address

26672 Van Dyke Ave
Center Line, MI 48015-1222

Phone

(586) 756-7670

Fax

(586) 756-8279

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centerline Chiropractic Life Center PCGroup PAC ID 6608064704, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Centerline Chiropractic Life Center PC

  • Chiropractor
  • Chesterfield, MI
  • NPI 1689774564
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366475212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26672 VAN DYKE AVE",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151222",
            "telephone_number": "586-756-7670",
            "fax_number": "586-756-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26672 VAN DYKE AVE",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151222",
            "telephone_number": "586-756-7670",
            "fax_number": "586-756-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTEUFFEL",
        "first_name": "MARK",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301002969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2099272",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Life Line Psychiatric Services
• Angelica Lindaman
• David Macon, DO
• Gorgina A Makram
• Laurence Manteuffel, D.C.
• Ronald J Manteuffel, D.C.
• Marcel G. Kasha PLLC
• Donna Marie Marghalle, LPN
• Maria'S Tender Loving Home Care
• Deborah Marietta-Nunez, D.O.

• Chiropractor in Center Line, MI
• Providers in Center Line, MI by specialty
• Chiropractor in Michigan

• 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.