Individual provider Active NPI

Michael Elliot Sutter, D.C.

  • Chiropractor
  • Denver, CO
National Provider Identifier
1508993734
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5615 Issued in CO
Practice address
1655 Lafayette St
Suite 303
Denver, CO 80218-1500
Phone
(303) 813-1010
Fax
(303) 830-0969
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5615 CO Primary

Addresses

Primary practice location

1655 Lafayette St
Suite 303
Denver, CO 80218-1500

Mailing address

1655 Lafayette St
Suite 303
Denver, CO 80218-1500
Phone (303) 813-1010

Other identifiers 2

IdentifierTypeStateIssuer
8772104083OtherCOBCBS PIN NUMBER
11534579OtherCOCAQH ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180511001868 NJ Practitioner - Chiropractic 0244263309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thompson Medical and Chiropractic LLCGroup PAC ID 5395008163, 48 clinicians

Practice addresses (Care Compare)

424 S Main St
Forked River, NJ 08731-4654
Phone (609) 971-3500

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
5615COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Medical and Chiropractic LLC Chiropractor CurrentSince Mar 28, 2018 Accepting new patients
Thompson Medical and Chiropractic LLC Chiropractor CurrentSince Mar 28, 2018 Accepting new patients

Locations

509 N Main St
Manahawkin, NJ 08050
Phone (609) 978-6565

106 Apple St
Ste 100C
Tinton Falls, NJ 07724
Phone (732) 747-5022

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508993734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 LAFAYETTE ST",
            "address_2": "SUITE 303",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181500",
            "telephone_number": "303-813-1010",
            "fax_number": "303-830-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 LAFAYETTE ST",
            "address_2": "SUITE 303",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181500",
            "telephone_number": "303-813-1010",
            "fax_number": "303-830-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTER",
        "first_name": "MICHAEL",
        "middle_name": "ELLIOT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN NUMBER",
            "identifier": "8772104083",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "11534579",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.