Individual provider Active NPI

Randall H Chambers, DC

  • Chiropractor
  • Dewitt, MI
National Provider Identifier
1487957940
Registry record updated Apr 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009845 Issued in MI
Practice address
12775 Escanaba Dr
Suite 5
Dewitt, MI 48820-8615
Phone
(517) 668-6750
Fax
(517) 668-6751
NPI assigned
Dec 6, 2010
Last updated
Apr 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 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 2301009845 MI Primary

Addresses

Primary practice location

12775 Escanaba Dr
Suite 5
Dewitt, MI 48820-8615

Mailing address

12775 Escanaba Dr
Suite 5
Dewitt, MI 48820-8615
Phone (517) 668-6750

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chambers Walk-in Chiropractic LLC Chiropractor CurrentSince Nov 5, 2011 Accepting new patients
Jack K Martin DC PLLC Chiropractor PastSince Sep 1, 2019 Accepting new patients

Locations

12775 Escanaba Dr
Ste 5
Dewitt, MI 48820
Phone (517) 668-6750

12900 S US Highway 27
Ste 1A
Dewitt, MI 48820
Phone (517) 668-6750

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": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333238400000",
    "number": "1487957940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12775 ESCANABA DR",
            "address_2": "SUITE 5",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488208615",
            "telephone_number": "517-668-6750",
            "fax_number": "517-668-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12775 ESCANABA DR",
            "address_2": "SUITE 5",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488208615",
            "telephone_number": "517-668-6750",
            "fax_number": "517-668-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "RANDALL",
        "middle_name": "H",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-06",
        "last_updated": "2012-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dewitt, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2012; 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.