Individual provider Active NPI

Miguel M Ruelan Jr., D.C.

  • Chiropractor
  • Flushing, MI
National Provider Identifier
1487681532
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MR008160 Issued in MI
Practice address
3280 N Elms Rd
Ste E
Flushing, MI 48433-1871
Phone
(810) 659-9700
Fax
(810) 659-9740
NPI assigned
Jun 26, 2006
Last updated
Aug 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MR008160 MI Primary

Addresses

Primary practice location

3280 N Elms Rd
Ste E
Flushing, MI 48433-1871

Mailing address

464 Woodland Ponds Dr
Flushing, MI 48433-3612
Phone (810) 701-1876

Other identifiers 2

IdentifierTypeStateIssuer
2377319340OtherMIAETNA
95-OB51319OtherMIBCBS

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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
MR008160MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ruelan Back and Neck Care Center PLLC Chiropractor PastSince Feb 28, 2005 Accepting new patients

Organizations & group practices 2

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1487681532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 WOODLAND PONDS DR",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484333612",
            "telephone_number": "810-701-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 N ELMS RD",
            "address_2": "STE E",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484331871",
            "telephone_number": "810-659-9700",
            "fax_number": "810-659-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUELAN",
        "first_name": "MIGUEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "MR008160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2377319340",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "95-OB51319",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.