Active NPI
Diane Christine Milligan, D.C.
- Chiropractor
- Jackson, MI
National Provider Identifier
1538245667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301007050
- Practice address
- 1949 Lansing Ave
Ste B
Jackson, MI 49202-2190 - Phone
- (517) 885-4437
- Fax
- (517) 962-2466
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- 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 | 2301007050 | MI | Primary |
Addresses
Primary practice location
1949 Lansing Ave
Ste B
Jackson, MI 49202-2190
Mailing address
1949 Lansing Ave Ste B
Jackson, MI 49202-2190
Phone (517) 812-7559
Other practice location 1
215 S Dettman Rd
Jackson, MI 49203-2204
Phone (517) 788-5443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2745860 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080211000045 | MI | Practitioner - Chiropractic | 0749363042 | Practice locations: Jackson, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1949 Lansing Ave
Suite B
Jackson, MI 49202-2190
Phone (517) 788-5443
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301007050 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1538245667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1949 LANSING AVE STE B",
"city": "JACKSON",
"state": "MI",
"postal_code": "492022190",
"telephone_number": "517-812-7559",
"fax_number": "517-962-2466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1949 LANSING AVE",
"address_2": "STE B",
"city": "JACKSON",
"state": "MI",
"postal_code": "492022190",
"telephone_number": "517-885-4437",
"fax_number": "517-962-2466"
}
],
"practiceLocations": [
{
"address_1": "215 S Dettman Rd",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MI",
"postal_code": "492032204",
"country_code": "US",
"telephone_number": "517-788-5443",
"fax_number": "517-784-9150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLIGAN",
"first_name": "DIANE",
"middle_name": "CHRISTINE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301007050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2745860",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.