Individual provider Active NPI

Robert Gabriel, D.C.

  • Chiropractor
  • Caro, MI
National Provider Identifier
1609872464
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007693 Issued in MI
Practice address
758 N State St
Caro, MI 48723-1546
Phone
(989) 672-4141
Fax
(989) 672-4040
NPI assigned
Jun 24, 2005
Last updated
Jun 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007693 MI Primary

Addresses

Primary practice location

758 N State St
Caro, MI 48723-1546

Mailing address

758 N State St
Caro, MI 48723-1546
Phone (989) 672-4141

Other identifiers 2

IdentifierTypeStateIssuer
099-1528OtherMIHEALTHPLUS
950G950090OtherMIBSBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caro Chiropractic PC Chiropractor CurrentSince Apr 22, 2021 Accepting new patients

Locations

758 N State St
Caro, MI 48723
Phone (989) 672-4141

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, 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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1609872464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 N STATE ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231546",
            "telephone_number": "989-672-4141",
            "fax_number": "989-672-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 N STATE ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231546",
            "telephone_number": "989-672-4141",
            "fax_number": "989-672-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "ROBERT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "099-1528",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBSM",
            "identifier": "950G950090",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.