Individual provider Active NPI

Ian Quartermus, D.C.

  • Chiropractor
  • Lansing, MI
National Provider Identifier
1558618074
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009910 Issued in MI
Practice address
252 S Waverly Rd
Lansing, MI 48917-3625
Phone
(517) 321-8568
Fax
(517) 321-6513
NPI assigned
Aug 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009910 MI Primary

Addresses

Primary practice location

252 S Waverly Rd
Lansing, MI 48917-3625

Mailing address

252 S Waverly Rd
Lansing, MI 48917-3625
Phone (517) 321-8568

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121005000551 MI Practitioner - Chiropractic 6204085244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

119 W Main St
Westphalia, MI 48894-9838
Phone (989) 587-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Westphalia Chiropractic CurrentSince Jan 17, 2022 Accepting new patients
Peak Performance Physical Therapy, PLC PastSince Jun 1, 2011 Accepting new patients
RDK Wohlfert PLLC Chiropractor Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1558618074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 S WAVERLY RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489173625",
            "telephone_number": "517-321-8568",
            "fax_number": "517-321-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 S WAVERLY RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489173625",
            "telephone_number": "517-321-8568",
            "fax_number": "517-321-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARTERMUS",
        "first_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.