Individual provider Active NPI

Michael Paul Krauseneck, D.C.

  • Chiropractor
  • Mount Clemens, MI
National Provider Identifier
1629326434
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009929 Issued in MI
Practice address
51 Southbound Gratiot Ave
Mount Clemens, MI 48043-2386
Phone
(586) 465-7900
Fax
(586) 465-2411
NPI assigned
Aug 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009929 MI Primary

Addresses

Primary practice location

51 Southbound Gratiot Ave
Mount Clemens, MI 48043-2386

Mailing address

16782 21 Mile Rd
Macomb, MI 48044-2600
Phone (586) 286-2960

Other practice location 1

16782 21 Mile Rd
Macomb, MI 48044-2600
Phone (586) 286-2960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121128000685 MI Practitioner - Chiropractic 4486806320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16782 21 Mile Rd
Macomb, MI 48044-2600
Phone (586) 286-2960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Krauseneck Chiropractic, PLC Chiropractor CurrentSince Sep 30, 2012 Accepting new patients

Locations

16782 21 Mile Rd
Macomb, MI 48044
Phone (586) 286-2960

51 Southbound Gratiot Ave
Mount Clemens, MI 48043
Phone (586) 465-5640

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1629326434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16782 21 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442600",
            "telephone_number": "586-286-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SOUTHBOUND GRATIOT AVE",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432386",
            "telephone_number": "586-465-7900",
            "fax_number": "586-465-2411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16782 21 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "MI",
            "postal_code": "480442600",
            "country_code": "US",
            "telephone_number": "586-286-2960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAUSENECK",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-28",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; 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.