Individual provider Active NPI

Alan Lee Migdalewicz, DC

  • Chiropractor
  • Farmington Hills, MI
National Provider Identifier
1487738217
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AM006671 Issued in MI
Practice address
31224 Mulfordton St
Suite 210B
Farmington Hills, MI 48334-1408
Phone
(248) 477-3977
Fax
(248) 855-4447
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X AM006671 MI Primary

Addresses

Primary practice location

31224 Mulfordton St
Suite 210B
Farmington Hills, MI 48334-1408

Mailing address

92 Pingree Ave
Pontiac, MI 48342-1156
Phone (248) 477-3977

Other identifiers 2

IdentifierTypeStateIssuer
950F322660OtherMIBCBS
4792751MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061227000244 MI Practitioner - Chiropractic 7315947223 Practice locations: Farmington Hills, MI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

31224 Mulfordton
Suite 110
Farmington Hills, MI 48334-1408

31224 Mulfordton St
Suite 110
Farmington Hills, MI 48334-1408
Phone (248) 477-3977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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
AM006671MIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1487738217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 PINGREE AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483421156",
            "telephone_number": "248-477-3977",
            "fax_number": "248-855-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31224 MULFORDTON ST",
            "address_2": "SUITE 210B",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341408",
            "telephone_number": "248-477-3977",
            "fax_number": "248-855-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGDALEWICZ",
        "first_name": "ALAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "AM006671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950F322660",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4792751",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.