Raymond Shin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

RS007001 Issued in MI

Practice address

37450 Garfield Rd
Suite 250
Clinton TWP, MI 48036-3657

Phone

(586) 226-3724

Fax

(586) 226-9605

NPI assigned

Oct 27, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Health PCGroup PAC ID 5799004792, 2 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 and National Provider Directory roles.

• Performance Health PC

  • Chiropractor
  • Clinton TWP, MI
  • NPI 1730571027
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417033200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37450 GARFIELD RD",
            "address_2": "SUITE 250",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480363657",
            "telephone_number": "586-226-3724",
            "fax_number": "586-226-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37450 GARFIELD RD",
            "address_2": "SUITE 250",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480363657",
            "telephone_number": "586-226-3724",
            "fax_number": "586-226-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "RAYMOND",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "RS007001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "RS007001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Sue Shannon-Wilson, MSOTRL
• Elizabeth Shark, ATC
• Enkeleda Shehu
• Carol Ann Sherwood, PTA, COTAL
• Robert W Shick Jr., OD
• Shishir Senapati MD PC
• Shivana N. Prakash MDPC
• Steven D Shoha, D.D.S.
• Marvin Shulman, MD, PC
• Claire Rebecca Sickon, PT

• Chiropractor in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.