Gregory Dale Ramboer, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

GR008055 Issued in MI

Practice address

5896 Dixie Hwy
Ste a
Clarkston, MI 48346

Phone

(248) 623-6107

Fax

(248) 623-6443

NPI assigned

Apr 1, 2006

Sex

Male

Sole proprietor

Yes

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

Logan College of Chiropractic, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifepointe Chiropractic Center PLCGroup PAC ID 8325055890, 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 and National Provider Directory roles.

• Lifepointe Chiropractic Center, PLC

  • Chiropractor
  • Clarkston, MI
  • NPI 1922283365
  Medicare reassignment Care Compare group NPD
• Lifepointe Chiro PLLC

  • Chiropractor
  • Clarkston, MI
  • NPI 1083561716
  NPD Authorized official

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1457312951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5896 DIXIE HWY",
            "address_2": "STE A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "48346",
            "telephone_number": "248-623-6107",
            "fax_number": "248-623-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5896 DIXIE HWY",
            "address_2": "STE A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "48346",
            "telephone_number": "248-623-6107",
            "fax_number": "248-623-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBOER",
        "first_name": "GREGORY",
        "middle_name": "DALE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "GR008055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950F355370",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pure Psychiatry of Michigan PLLC
• Jodi Lynn Quade Wegner, BEHAVIOR TECHNICIAN
• Quest Diagnostics Incorporated Mi
• Benjamen Quigley
• Brenda Radford, LMSW
• Salomi Rami, DO
• Lawrence G Rapp, M.D.
• Terri Ratliff
• Jacklynn Ray
• Matthew David Rayis, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.