Active NPI
Paula Marie Pfahler, DC
- Chiropractor
- St Joseph, MI
National Provider Identifier
1558577288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301004648
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2301004648 | MI | MD | Chiropractor |
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.