Individual provider Active NPI

Michaelene Callahan, D.C.

  • Chiropractor
  • Ormond Beach, FL
National Provider Identifier
1366564254
Registry record updated Apr 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12983 Issued in FL
Practice address
141 Buckskin LN
Ormond Beach, FL 32174-8005
Phone
(407) 502-8777
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6091 NJ
Chiropractor 111N00000X 9087 NY
Chiropractor 111N00000X CH12983 FL Primary

Addresses

Primary practice location

141 Buckskin LN
Ormond Beach, FL 32174-8005

Mailing address

141 Buckskin LN
Ormond Beach, FL 32174-8005
Phone (407) 502-8777

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
CH12983FLMDChiropractor
6091NJMDChiropractor
9087NYMDChiropractor
7091AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalspine Chiropractic Sanford LLC Chiropractor Current Accepting new patients
CHC Sanford LLC Chiropractor CurrentSince Jun 2, 2024 Accepting new patients
Axis Chiropractic Center, LLC Chiropractor Past Accepting new patients
Callahan Family Chiropractic and Rehabilitation Center Past Accepting new patients
Adjustme Chiropractic LLC Chiropractor Past Accepting new patients
Advanced Therapeutics Chiropractic LLC Chiropractor Past Accepting new patients
A Balanced Life Chiropractic Center, Inc. Chiropractor Past Accepting new patients

Organizations & group practices 7

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712966400000",
    "number": "1366564254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 BUCKSKIN LN",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748005",
            "telephone_number": "407-502-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 BUCKSKIN LN",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748005",
            "telephone_number": "407-502-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "MICHAELENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2024-04-13",
        "certification_date": "2024-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "6091",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "9087",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.