Active NPI
Michael William Rogers, D.C.
- Chiropractor
- Flushing, NY
National Provider Identifier
1457405342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X008177-1
- Practice address
- 43-01 Utopia Parkway
Flushing, NY 11358 - Phone
- (718) 886-4663
- Fax
- (718) 886-4911
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X008177-1 | NY | Primary |
Addresses
Primary practice location
43-01 Utopia Parkway
Flushing, NY 11358
Mailing address
24 Dover Lane
Old Bethpage, NY 11804
Phone (516) 752-4172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120112000587 | NY | Practitioner - Chiropractic | 7012184138 | Practice locations: Flushing, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4301 Utopia Pkwy
Flushing, NY 11358-3326
Phone (718) 886-4663
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X008177-1 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457405342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 DOVER LANE",
"city": "OLD BETHPAGE",
"state": "NY",
"postal_code": "11804",
"telephone_number": "516-752-4172",
"fax_number": "718-886-4911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43-01 UTOPIA PARKWAY",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11358",
"telephone_number": "718-886-4663",
"fax_number": "718-886-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "MICHAEL",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X008177-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- 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.