Daniel Nelson Mikel
Individual provider Active NPI Chiropractor · Grass Lake, MI
NPI 1447413380 · NPPES record last updated Oct 20, 2008
Key facts
- NPI
- 1447413380
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301009352 (MI)
- Practice address
- 125 W Michigan Ave
Grass Lake, MI 49240-9188 - Phone
- (517) 522-8315
- NPI assigned
- Jul 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
139 W Michigan Ave
Grass Lake, MI 49240-9188
Phone (517) 522-8315
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080725000299 | MI | Practitioner - Chiropractic | 3072686955 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grass Lake Chiropractic Center, PLLC | Chiropractor | Current |
Accepting new patients |
Locations
139 W Michigan Ave
Grass Lake, MI 49240
Phone (517) 522-8315
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301009352 | MI | Yes |
Addresses
Primary practice location
125 W Michigan Ave
Grass Lake, MI 49240-9188
Mailing address
PO Box 141
Grass Lake, MI 49240-0141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950C812990 | Other | MI | BLUE CROSS BLUE SHIELD |
Other providers in Grass Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.