Individual provider Active NPI

Bo Carrick, DC

  • Chiropractor
  • Mt Pleasant, MI
National Provider Identifier
1669091740
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010913 Issued in MI
Practice address
913 E Pickard St Ste N
Mt Pleasant, MI 48858-1095
Phone
(989) 317-3096
NPI assigned
Apr 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010913 MI Primary

Addresses

Primary practice location

913 E Pickard St Ste N
Mt Pleasant, MI 48858-1095

Mailing address

913 E Pickard St Ste N
Mt Pleasant, MI 48858-1095
Phone (989) 317-3096

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200414002524 MI Practitioner - Chiropractic 3779913850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Explore Chiropractic PLLCGroup PAC ID 9335416627, 2 clinicians

Practice addresses (Care Compare)

913 E Pickard St
Suite N
Mt Pleasant, MI 48858-1095
Phone (989) 317-3096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Explore Chiropractic PLLC Chiropractor CurrentSince Mar 11, 2020 Accepting new patients

Locations

913 E Pickard St
Ste N
Mt Pleasant, MI 48858
Phone (989) 317-3096

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": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1669091740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 E PICKARD ST STE N",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488581095",
            "telephone_number": "989-317-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 E PICKARD ST STE N",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488581095",
            "telephone_number": "989-317-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRICK",
        "first_name": "BO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.