Individual provider Active NPI

Patrick E Chase, DC

  • Neurology Chiropractor
  • Saint Clair Shores, MI
National Provider Identifier
1609950419
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
PC004238 Issued in MI
Practice address
29050 Harper Ave
Saint Clair Shores, MI 48081-1200
Phone
(586) 774-0091
Fax
(586) 774-6045
NPI assigned
Oct 25, 2006
Last updated
Nov 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X PC004238 MI Primary

Addresses

Primary practice location

29050 Harper Ave
Saint Clair Shores, MI 48081-1200

Mailing address

29050 Harper Ave
Saint Clair Shores, MI 48081-1200
Phone (586) 774-0091

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071226000286 MI Practitioner - Chiropractic 7911097258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patrick E Chase DC Professional CorporationGroup PAC ID 1557451895, 3 clinicians

Practice addresses (Care Compare)

29050 Harper Ave
Saint Clair Shores, MI 48081-1200
Phone (586) 774-0091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC004238MIMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick E Chase DC Professional Corporation CurrentSince Jun 1, 1993 Accepting new patients
Zanoni Chiropractic Center PC CurrentSince Aug 23, 1999 Accepting new patients

Locations

29050 Harper Ave
St Clr Shores, MI 48081
Phone (586) 774-0091

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1609950419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29050 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811200",
            "telephone_number": "586-774-0091",
            "fax_number": "586-774-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29050 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811200",
            "telephone_number": "586-774-0091",
            "fax_number": "586-774-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "PATRICK",
        "middle_name": "E",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "MI",
            "license": "PC004238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

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

Verify at the official NPI Registry.