Active NPI
Scott Gordon McLeod, D.C.
- Chiropractor
- Shelby Township, MI
National Provider Identifier
1649226531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301005951
- Practice address
- 48073 Van Dyke Ave
Shelby Township, MI 48317-3258 - Phone
- (586) 739-6262
- Fax
- (586) 739-4540
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301005951 | MI | Primary |
Addresses
Primary practice location
48073 Van Dyke Ave
Shelby Township, MI 48317-3258
Mailing address
48073 Van Dyke Ave
Shelby Township, MI 48317-3258
Phone (586) 739-6262
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0E001880 | Other | MI | BLUE CROSS BLUE SHIELD |
| 5274511 | Other | MI | AETNA |
| 4789694 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
48073 Van Dyke Ave
Shelby Township, MI 48317-3258
Phone (586) 739-6262
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Chiropractic Center P.C. | Chiropractor | Current | Accepting new patients |
Locations
48073 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 739-6262
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.
-
- Chiropractor
- Shelby Township, MI
- NPI 1386724904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1649226531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48073 VAN DYKE AVE",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483173258",
"telephone_number": "586-739-6262",
"fax_number": "586-739-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48073 VAN DYKE AVE",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483173258",
"telephone_number": "586-739-6262",
"fax_number": "586-739-4540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEOD",
"first_name": "SCOTT",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301005951",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0E001880",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5274511",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4789694",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.