Active NPI
Michael Ray Comstock, D.C.
- Chiropractor
- Hedrick, IA
National Provider Identifier
1659371987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06309
- Practice address
- 202 N Main St
Hedrick, IA 52563-9321 - Phone
- (641) 653-2311
- NPI assigned
- Jul 28, 2005
- Last updated
- Dec 27, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 06309 | IA | Primary |
Addresses
Primary practice location
202 N Main St
Hedrick, IA 52563-9321
Mailing address
PO Box 243
Hedrick, IA 52563-0243
Phone (641) 653-2311
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0206557 | Medicaid | IA | |
| 17517 | Other | IA | WELLMARK BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041214000284 | IA | Practitioner - Chiropractic | 4183681901 | Practice locations: Hedrick, IA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
202 N Main St
Hedrick, IA 52563-9321
Phone (641) 653-2311
PO Box
Suite 243
Hedrick, IA 52563-0243
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388102400000",
"number": "1659371987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 243",
"city": "HEDRICK",
"state": "IA",
"postal_code": "525630243",
"telephone_number": "641-653-2311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 N MAIN ST",
"city": "HEDRICK",
"state": "IA",
"postal_code": "525639321",
"telephone_number": "641-653-2311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMSTOCK",
"first_name": "MICHAEL",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2013-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0206557",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BC/BS",
"identifier": "17517",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hedrick, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; 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.