Individual provider Active NPI

Randall John Byma, DC

  • Chiropractor
  • Marquette, MI
National Provider Identifier
1518992619
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008366 Issued in MI
Practice address
925 W Washington St
Suite 107
Marquette, MI 49855-4061
Phone
(906) 227-0100
Fax
(906) 227-0200
NPI assigned
Jul 11, 2006
Last updated
Jun 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008366 MI Primary

Addresses

Primary practice location

925 W Washington St
Suite 107
Marquette, MI 49855-4061

Mailing address

925 W Washington St
Suite 107
Marquette, MI 49855-4061
Phone (906) 227-0100

Other names 1

  • Dr. Randall John Byma Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080822000055 MI Practitioner - Chiropractic 2567537715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

925 W Washington St
Suite 107
Marquette, MI 49855-4065
Phone (906) 227-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301008366MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Health Chiropractic PLC Chiropractor CurrentSince Jan 31, 2019 Accepting new patients
Byma Chiropractic, P.C. CurrentSince Jul 29, 2008 Accepting new patients
C. Thomas D.C. P.C. Chiropractor PastSince Feb 6, 2016 Accepting new patients
McLean Family Chiropractic Center Chiropractor Past Accepting new patients

Locations

1364 US Highway 41 W
Ishpeming, MI 49849
Phone (906) 485-4000

1720 US Highway 41 W
Ishpeming, MI 49849
Phone (906) 485-4000

925 W Washington St
Ste 10
Marquette, MI 49855

925 W Washington St
Ste 107
Marquette, MI 49855
Phone (906) 227-0100

Organizations & group practices 4

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1518992619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 W WASHINGTON ST",
            "address_2": "SUITE 107",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554061",
            "telephone_number": "906-227-0100",
            "fax_number": "906-227-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 W WASHINGTON ST",
            "address_2": "SUITE 107",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554061",
            "telephone_number": "906-227-0100",
            "fax_number": "906-227-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYMA",
        "first_name": "RANDALL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDALL",
            "last_name": "BYMA",
            "middle_name": "JOHN",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.