Individual provider Active NPI

Ondre M. Jacques, D.C.

  • Chiropractor
  • Rochester Hills, MI
National Provider Identifier
1487873071
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008019 Issued in MI
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

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0F325190OtherBCBSM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050426000086 MI Practitioner - Chiropractic 2567401094 Reassigns benefits to 1 organization

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
Daude Family Chiropractic PCGroup PAC ID 6305804824, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Daude Family Chiropractic PC Chiropractor CurrentSince Mar 28, 2025 Accepting new patients
Dynamic Chiropractic Centers Chiropractor CurrentSince Nov 13, 2013 Accepting new patients
Align Chiropractic Clinic Chiropractor Past Accepting new patients
William F Goss DC I PLLC Chiropractor PastSince Jul 20, 2016 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.

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.

Verify at the official NPI Registry.