Individual provider Active NPI

Marc Vanhoogstraat, D.C.

  • Chiropractor
  • Oxford, MI
National Provider Identifier
1497941082
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MV007079 Issued in MI
Practice address
776 S Lapeer Rd
Oxford, MI 48371-5037
Phone
(248) 628-4886
NPI assigned
Sep 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MV007079 MI Primary

Addresses

Primary practice location

776 S Lapeer Rd
Oxford, MI 48371-5037

Mailing address

776 S Lapeer Rd
Oxford, MI 48371-5037
Phone (248) 628-4886

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040109000944 MI Practitioner - Chiropractic 9638079361 Practice locations: Oxford, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MV007079MIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1497941082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 S LAPEER RD",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483715037",
            "telephone_number": "248-628-4886",
            "fax_number": "248-628-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 S LAPEER RD",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483715037",
            "telephone_number": "248-628-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHOOGSTRAAT",
        "first_name": "MARC",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "MV007079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.