Charles Peter Graham, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

2301004190 Issued in MI

Practice address

1059 S US Highway 27
Saint Johns, MI 48879-2437

Phone

(989) 224-8688

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kehres Health and Chiropractic

  • Chiropractor
  • Saginaw, MI
  • NPI 1477865830
  Medicare reassignment NPD
• Kehres Health and Chiropractic

  • Chiropractor
  • Clarkston, MI
  • NPI 1275106072
  NPD
• Kehres Health and Chiropractic

  • Chiropractor
  • Mt Pleasant, MI
  • NPI 1831683317
  NPD
• Kehres Health and Chiropractic

  • Chiropractor
  • Bay City, MI
  • NPI 1992223317
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659407641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 S US HIGHWAY 27",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792437",
            "telephone_number": "989-224-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 S US HIGHWAY 27",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792437",
            "telephone_number": "989-224-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CHARLES",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MI",
            "license": "2301004190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "950A95006",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi Jo Glew, LMSW
• David Jon Goeckel, DDS
• Robert Goerge, ATC
• Grace Haven Assisted Living
• Grace Haven Assisted Living LLC
• Holly Graham
• Jessica Kristie Hafner, ATC/L
• Samantha Hallenbeck, DPT
• Melissa F Halvorson, MD
• Jennifer L. Hardy, RPH

• All providers in Saint Johns, MI
• Rehabilitation Chiropractor in Michigan

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