Active NPI
Michaelene Callahan, D.C.
- Chiropractor
- Ormond Beach, FL
National Provider Identifier
1366564254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12983
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH12983 | FL | MD | Chiropractor |
| 6091 | NJ | MD | Chiropractor |
| 9087 | NY | MD | Chiropractor |
| 7091 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalspine Chiropractic Sanford LLC | Chiropractor | Current | Accepting new patients |
| CHC Sanford LLC | Chiropractor | Current | 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.
-
- Chiropractor
- Sanford, FL
- NPI 1780424168
-
- Chiropractor
- Sanford, FL
- NPI 1326927476
-
- Chiropractor
- New Brunswick, NJ
- NPI 1730328238
-
- Chiropractor
- Somerset, NJ
- NPI 1063902716
-
- Chiropractor
- New Brunswick, NJ
- NPI 1417396953
-
- Rehabilitation Chiropractor
- New Brunswick, NJ
- NPI 1619189719
-
- Chiropractor
- New Brunswick, NJ
- NPI 1417125626
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.