Individual provider Active NPI

Michael Lee Collins, D.C.

  • Chiropractor
  • New London, OH
National Provider Identifier
1487733283
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
513 Issued in OH
Practice address
2546 State Route 60 S
New London, OH 44851-9478
Phone
(419) 929-8235
Fax
(419) 929-0581
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 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 513 OH Primary

Addresses

Primary practice location

2546 State Route 60 S
New London, OH 44851-9478

Mailing address

2546 State Route 60 S
New London, OH 44851-9478
Phone (419) 929-8235

Other identifiers 1

IdentifierTypeStateIssuer
0287747MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120314000362 OH Practitioner - Chiropractic 4587823349 Practice locations: New London, OH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2546 St RT 60
New London, OH 44851-9478
Phone (419) 929-8235

2546 State Route 60 S
New London, OH 44851-9478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
513OHMDDrama Therapist

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1487733283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 STATE ROUTE 60 S",
            "city": "NEW LONDON",
            "state": "OH",
            "postal_code": "448519478",
            "telephone_number": "419-929-8235",
            "fax_number": "419-929-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 STATE ROUTE 60 S",
            "city": "NEW LONDON",
            "state": "OH",
            "postal_code": "448519478",
            "telephone_number": "419-929-8235",
            "fax_number": "419-929-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0287747",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.

Verify at the official NPI Registry.