Active NPI
Ondre M. Jacques, D.C.
- Chiropractor
- Rochester Hills, MI
National Provider Identifier
1487873071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301008019
- Practice address
- 555 Barclay Cir Ste 140
Rochester Hills, MI 48307-4587 - Phone
- (248) 299-6911
- Fax
- (248) 299-6915
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 2301008019 | MI | Primary |
Addresses
Primary practice location
555 Barclay Cir Ste 140
Rochester Hills, MI 48307-4587
Mailing address
555 Barclay Cir Ste 140
Rochester Hills, MI 48307-4587
Phone (248) 299-6911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0F325190 | Other | BCBSM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55185 Shelby Rd
Shelby Township, MI 48316-1150
Phone (248) 650-5200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daude Family Chiropractic PC | Chiropractor | Current | Accepting new patients |
| Dynamic Chiropractic Centers | Chiropractor | Current | Accepting new patients |
| Align Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
| William F Goss DC I PLLC | Chiropractor | Past | Accepting new patients |
| William F Goss DC III PLLC | Chiropractor | Past | Accepting new patients |
Locations
555 Barclay Cir
Ste 140
Rochester Hills, MI 48307
Phone (248) 299-6911
55185 Shelby Rd
Shelby Township, MI 48316
Phone (248) 650-5200
Organizations & group practices 5
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.
-
- Chiropractor
- Shelby Township, MI
- NPI 1336273358
-
- Chiropractor
- Rochester Hills, MI
- NPI 1588090732
-
- Chiropractor
- Rochester, MI
- NPI 1639550791
-
- Chiropractor
- Sterling Heights, MI
- NPI 1528119682
-
- Chiropractor
- Rochester, MI
- NPI 1821149899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1487873071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 BARCLAY CIR STE 140",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483074587",
"telephone_number": "248-299-6911",
"fax_number": "248-299-6915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 BARCLAY CIR STE 140",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483074587",
"telephone_number": "248-299-6911",
"fax_number": "248-299-6915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACQUES",
"first_name": "ONDRE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301008019",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "0F325190",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.