Individual provider Active NPI

Michael John Herrick, D.C.

  • Chiropractor
  • Moline, IL
National Provider Identifier
1457348740
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010214 Issued in IL
Practice address
1914 16TH St
Moline, IL 61265-3953
Phone
(309) 762-1002
Fax
(309) 736-3484
NPI assigned
Oct 1, 2005
Last updated
Mar 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038010214 IL Primary

Addresses

Primary practice location

1914 16TH St
Moline, IL 61265-3953

Mailing address

1914 16TH St
Moline, IL 61265-3953
Phone (309) 762-1002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hurst Chiropractic Chiropractor Past Accepting new patients
Quad Cities Wellness and Rehabilitation Center, LTD. Chiropractor PastSince Dec 14, 2007 Accepting new patients
Kennedy Chiropractic Center PC Chiropractor Past Accepting new patients
Home Bound Healthcare, Inc. Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1128124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1457348740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 16TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653953",
            "telephone_number": "309-762-1002",
            "fax_number": "309-736-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 16TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653953",
            "telephone_number": "309-762-1002",
            "fax_number": "309-736-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRICK",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-01",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.