Individual provider Active NPI

Michael Shane Kamer, D.C.

  • Chiropractor
  • Black Mountain, NC
National Provider Identifier
1629007307
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4306 Issued in NC
Practice address
3174 US Highway 70
Black Mountain, NC 28711-6302
Phone
(828) 669-5314
Fax
(828) 669-2210
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5000 KY
Chiropractor 111N00000X 3638 OH
Chiropractor 111N00000X 4306 NC Primary

Addresses

Primary practice location

3174 US Highway 70
Black Mountain, NC 28711-6302

Mailing address

3174 US Highway 70
Black Mountain, NC 28711-6302
Phone (828) 669-5314

Other identifiers 1

IdentifierTypeStateIssuer
2603669MedicaidOH

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

State licenses

LicenseStateTypeSpecialty
5000KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Swannanoa Valley Chiropractic Clinic, PA Chiropractor CurrentSince Oct 20, 2012 Accepting new patients
D'Ippolito Chiropractic, Massage & Beautiful Image, PA Chiropractor PastSince Jun 20, 2024 Accepting new patients
Aldrich Chiropractic Center LLC Chiropractor Past Accepting new patients
SM Chiropractic Chiropractor Past Accepting new patients

Locations

3174 US Highway 70
Black Mtn, NC 28711
Phone (828) 669-5314

3174 US Highway 70 W
Black Mtn, NC 28711
Phone (828) 669-5314

Organizations & group practices 4

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1629007307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3174 US HIGHWAY 70",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287116302",
            "telephone_number": "828-669-5314",
            "fax_number": "828-669-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3174 US HIGHWAY 70",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287116302",
            "telephone_number": "828-669-5314",
            "fax_number": "828-669-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMER",
        "first_name": "MICHAEL",
        "middle_name": "SHANE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5000",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3638",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2603669",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.