Active NPI
Michelann Genevieve Michelena, D.C.
- Chiropractor
- Turlock, CA
National Provider Identifier
1477739647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-30741
- Practice address
- 1518 Colorado Ave
Turlock, CA 95380-2711 - Phone
- (209) 634-5611
- Fax
- (209) 634-9951
- NPI assigned
- Jan 17, 2008
- Last updated
- Feb 4, 2011
- Sex
- Female
- Sole proprietor
- No
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 | DC-30741 | CA | Primary |
Addresses
Primary practice location
1518 Colorado Ave
Turlock, CA 95380-2711
Mailing address
1518 Colorado Ave
Turlock, CA 95380-2711
Phone (209) 634-5611
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-30741 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Catherine Wolf | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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": "1200528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296777600000",
"number": "1477739647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1518 COLORADO AVE",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953802711",
"telephone_number": "209-634-5611",
"fax_number": "209-634-9951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1518 COLORADO AVE",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953802711",
"telephone_number": "209-634-5611",
"fax_number": "209-634-9951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHELENA",
"first_name": "MICHELANN",
"middle_name": "GENEVIEVE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-17",
"last_updated": "2011-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC-30741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Turlock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.