Individual provider Active NPI

Michael Charles Hayes, D.C.

  • Chiropractor
  • Lodi, CA
National Provider Identifier
1437236122
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 22707 Issued in CA
Practice address
820 S Fairmont Ave
Lodi, CA 95240-5117
Phone
(209) 368-6639
Fax
(209) 368-7330
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 22707 CA Primary

Addresses

Primary practice location

820 S Fairmont Ave
Lodi, CA 95240-5117

Mailing address

820 S Fairmont Ave
Lodi, CA 95240-5117
Phone (209) 368-6639

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090618000323 CA Practitioner - Chiropractic 1759375801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hayes Chiropractic IncGroup PAC ID 0143214296, 3 clinicians

Practice addresses (Care Compare)

820 S Fairmont Ave
Lodi, CA 95240-5117
Phone (209) 368-6639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 22707CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hayes Chiropractic Inc Chiropractor CurrentSince May 28, 1998 Accepting new patients

Locations

750 Spaans Dr
Ste A
Galt, CA 95632
Phone (209) 745-6639

820 S Fairmont Ave
Lodi, CA 95240
Phone (209) 368-6639

9008 Thornton Rd
Stockton, CA 95209
Phone (209) 663-7733

2707 E Fremont St
Ste 6
Stockton, CA 95205
Phone (209) 333-3833

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1437236122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S FAIRMONT AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405117",
            "telephone_number": "209-368-6639",
            "fax_number": "209-368-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S FAIRMONT AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405117",
            "telephone_number": "209-368-6639",
            "fax_number": "209-368-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 22707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.