Mark A Michael, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1918012 Issued in WI

Practice address

405 N Calhoun Rd
Suite 105
Brookfield, WI 53005-5902

Phone

(262) 785-1233

Fax

(262) 785-1258

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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.

• Michael Chiropractic Center SC

  • Chiropractor
  • Brookfield, WI
  • NPI 1770644163
  Medicare reassignment NPD Authorized official
• Resolve Chiropractic LLC

  • Chiropractor
  • Brookfield, WI
  • NPI 1801672126
  NPD

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1467486522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N CALHOUN RD",
            "address_2": "SUITE 105",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055902",
            "telephone_number": "262-785-1233",
            "fax_number": "262-785-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N CALHOUN RD",
            "address_2": "SUITE 105",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055902",
            "telephone_number": "262-785-1233",
            "fax_number": "262-785-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1918012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "201994442014",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI EMPL. ID",
            "identifier": "402681",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38838100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "606473100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Meyerhofer, BCBA
• Rachel Colleen Meyers, FNP
• Stacy Ann Miceli
• Michael Chiropractic Center SC
• Michael J. Logan MD, SC
• Anna M Michalkiewicz, RN
• Sophie Michalski
• Angela Irene Michor, NP, MSN
• Robert William Miclot Jr., DC
• Monica Micoliczyk

• Chiropractor in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.