Individual provider Active NPI

Craig James Everingham, D.C.

  • Chiropractor
  • Romulus, MI
National Provider Identifier
1598861429
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007988 Issued in MI
Practice address
36738 Goddard Rd
Romulus, MI 48174
Phone
(734) 941-5620
Fax
(734) 941-5625
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007988 MI Primary

Addresses

Primary practice location

36738 Goddard Rd
Romulus, MI 48174

Mailing address

36738 Goddard Rd
Romulus, MI 48174-1278
Phone (734) 941-5620

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110621000335 MI Practitioner - Chiropractic 8921286089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

36738 Goddard Rd
Romulus, MI 48174-1278
Phone (734) 941-5620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Everingham Chiropractic Health Center, P.C. Chiropractor CurrentSince Jun 21, 2011 Accepting new patients
Odette Chiropractic Family Health Center PLC Chiropractor Past Accepting new patients

Locations

12100 S Huron River Dr
Romulus, MI 48174
Phone (734) 941-1070

36738 Goddard Rd
Romulus, MI 48174
Phone (734) 941-5620

Organizations & group practices 2

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1598861429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36738 GODDARD RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741278",
            "telephone_number": "734-941-5620",
            "fax_number": "734-941-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36738 GODDARD RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "48174",
            "telephone_number": "734-941-5620",
            "fax_number": "734-941-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERINGHAM",
        "first_name": "CRAIG",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romulus, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.