Individual provider Active NPI

Danielle Pfeil, D.C

  • Chiropractor
  • Shelby Township, MI
National Provider Identifier
1588086961
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010170 Issued in MI
Practice address
52188 Van Dyke Ave Ste 312
Shelby Township, MI 48316-3570
Phone
(586) 580-1961
Fax
(586) 580-7525
NPI assigned
Jan 20, 2014
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010170 MI Primary

Addresses

Primary practice location

52188 Van Dyke Ave Ste 312
Shelby Township, MI 48316-3570

Mailing address

52188 Van Dyke Ave Ste 312
Shelby Township, MI 48316-3570
Phone (586) 580-1961

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140404001962 MI Practitioner - Chiropractic 8123250131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

52188 Van Dyke Ave
Suite 312
Shelby Township, MI 48316-3570
Phone (586) 580-1961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reset Chiropractic PLLC Chiropractor CurrentSince Jul 28, 2021 Accepting new patients

Locations

52188 Van Dyke Ave
Ste 312
Shelby Township, MI 48316
Phone (586) 580-1961

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1588086961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52188 VAN DYKE AVE STE 312",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163570",
            "telephone_number": "586-580-1961",
            "fax_number": "586-580-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52188 VAN DYKE AVE STE 312",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163570",
            "telephone_number": "586-580-1961",
            "fax_number": "586-580-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIL",
        "first_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-20",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.