Active NPI
James Alfred Vanhoutteghem, D.C.
- Chiropractor
- Bad Axe, MI
National Provider Identifier
1528129723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- JV004652
- Practice address
- 1163 N Van Dyke Rd
Bad Axe, MI 48413-8076 - Phone
- (989) 269-6467
- Fax
- (989) 269-2996
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | JV004652 | MI | Primary |
Addresses
Primary practice location
1163 N Van Dyke Rd
Bad Axe, MI 48413-8076
Mailing address
1163 N Van Dyke Rd
Bad Axe, MI 48413-8076
Phone (989) 269-6467
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4419666 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1163 N Van Dyke Rd
Bad Axe, MI 48413-8076
Phone (989) 269-6467
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JV004652 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanhoutteghem Chiropractic Center | Chiropractor | Current | Accepting new patients |
Locations
1163 N Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-6467
Organizations & group practices 1
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.
-
- Chiropractor
- Bad Axe, MI
- NPI 1992710867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374451200000",
"number": "1528129723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1163 N VAN DYKE RD",
"city": "BAD AXE",
"state": "MI",
"postal_code": "484138076",
"telephone_number": "989-269-6467",
"fax_number": "989-269-2996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1163 N VAN DYKE RD",
"city": "BAD AXE",
"state": "MI",
"postal_code": "484138076",
"telephone_number": "989-269-6467",
"fax_number": "989-269-2996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANHOUTTEGHEM",
"first_name": "JAMES",
"middle_name": "ALFRED",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2013-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "JV004652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4419666",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bad Axe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.