Individual provider Active NPI

Paula Marie Pfahler, DC

  • Chiropractor
  • St Joseph, MI
National Provider Identifier
1558577288
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004648 Issued in MI
Practice address
812A Ship St
St Joseph, MI 49085-2183
Phone
(269) 983-1160
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 2301004648 MI Primary

Addresses

Primary practice location

812A Ship St
St Joseph, MI 49085-2183

Mailing address

812A Ship St
St Joseph, MI 49085-2183
Phone (269) 983-1160

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120214000856 MI Practitioner - Chiropractic 8325206741 Practice locations: St Joseph, MI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

812 A Ship St
St Joseph, MI 49085-2183
Phone (269) 983-1160

812 Ship St a
Saint Joseph, MI 49085-2183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301004648MIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558577288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812A SHIP ST",
            "city": "ST JOSEPH",
            "state": "MI",
            "postal_code": "490852183",
            "telephone_number": "269-983-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812A SHIP ST",
            "city": "ST JOSEPH",
            "state": "MI",
            "postal_code": "490852183",
            "telephone_number": "269-983-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFAHLER",
        "first_name": "PAULA",
        "middle_name": "MARIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.