Gary R Padden, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

GP004872 Issued in MI

Practice address

960 S Lincoln Ave
Lakeview, MI 48850-9178

Phone

(989) 352-8283

Fax

(989) 352-5723

NPI assigned

May 25, 2006

Last updated

Feb 3, 2012By 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 5

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeview Family Chiropractors, IncGroup PAC ID 6406855527, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeview Family Chiropractors Inc

  dba Tri County Family Chiropractors

  • Chiropractor
  • Lakeview, MI
  • NPI 1922191048
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1407802333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649",
            "city": "LAKEVIEW",
            "state": "MI",
            "postal_code": "488500649",
            "telephone_number": "989-352-8283",
            "fax_number": "989-352-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 S LINCOLN AVE",
            "city": "LAKEVIEW",
            "state": "MI",
            "postal_code": "488509178",
            "telephone_number": "989-352-8283",
            "fax_number": "989-352-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADDEN",
        "first_name": "GARY",
        "middle_name": "R",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "GP004872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145187243",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER GROUP NO",
            "identifier": "950E910550",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN PROV ID",
            "identifier": "950E950010",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141702788",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145187225",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Leigh Miles, PA-C
• New Haven Assisted Living Inc
• Ryan William Norris, PT
• Andrew Padden, D.C.
• Cathleen M Padden, D.C.
• Tiffany Rae Padden, D.C.
• Heather Parker, LPN
• Larry James Pepper, DO
• Elana Powell
• Todd A Pryor, DO

• Chiropractor in Lakeview, MI
• Providers in Lakeview, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.