Michael Robert Cole, CHIROPRACTOR

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006154 Issued in MO

Practice address

201 S. Main St.
Vandalia, MO 63382-0149

Phone

(573) 594-2663

Fax

(573) 594-2663

NPI assigned

Aug 11, 2006

Last updated

Nov 20, 2008By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Cole Chiropractic Center LLC

  • Chiropractor
  • Vandalia, MO
  • NPI 1629223425
  Authorized official Same address or phone

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1376554485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 149",
            "address_2": "201 S. MAIN ST",
            "city": "VANDALIA",
            "state": "MO",
            "postal_code": "633820149",
            "telephone_number": "573-594-2663",
            "fax_number": "573-594-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S. MAIN ST.",
            "city": "VANDALIA",
            "state": "MO",
            "postal_code": "633820149",
            "telephone_number": "573-594-2663",
            "fax_number": "573-594-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "222567",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "19025",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle McGovern Bradshaw, D.O.
• Cole Chiropractic Center LLC
• Countryside Manor
• Countryside Manor LLC
• Christina Dixon, AGNP-C
• Dr. Craig a. Long, D.D.S.
• Nicole Gibson

• Chiropractor in Vandalia, MO
• Providers in Vandalia, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.