Individual provider Active NPI

Jeffrey Senechal, DC

  • Chiropractor
  • Novi, MI
National Provider Identifier
1376787655
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009558 Issued in MI
Practice address
39595 W 10 Mile Rd
Suite 112
Novi, MI 48375-2948
Phone
(248) 477-0380
Fax
(248) 477-8320
NPI assigned
Apr 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009558 MI Primary

Addresses

Primary practice location

39595 W 10 Mile Rd
Suite 112
Novi, MI 48375-2948

Mailing address

39595 W 10 Mile Rd
Suite 112
Novi, MI 48375-2948
Phone (248) 477-0380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090604000315 MI Practitioner - Chiropractic 0244380798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Diverse Health Services PLLCGroup PAC ID 9739282534, 3 clinicians

Practice addresses (Care Compare)

24230 Karim Blvd
Novi, MI 48375-2953
Phone 2484770380112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Diverse Health Services PLLC Chiropractor CurrentSince May 1, 2009 Accepting new patients

Locations

24230 Karim Blvd
Ste 130
Novi, MI 48375
Phone (248) 477-0380

39595 W 10 Mile Rd
Ste 112
Novi, MI 48375
Phone (248) 477-0380

Organizations & group practices 1

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": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242000000000",
    "number": "1376787655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39595 W 10 MILE RD",
            "address_2": "SUITE 112",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752948",
            "telephone_number": "248-477-0380",
            "fax_number": "248-477-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39595 W 10 MILE RD",
            "address_2": "SUITE 112",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752948",
            "telephone_number": "248-477-0380",
            "fax_number": "248-477-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENECHAL",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.