Active NPI
Lisa Evelyn Purdy-Kanas, D.C.
- Chiropractor
- Shelby Township, MI
National Provider Identifier
1669424396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301005277
- Practice address
- 47101 Hayes
Shelby Township, MI 48315-1213 - Phone
- (586) 532-9774
- Fax
- (586) 532-9767
- NPI assigned
- May 17, 2006
- Sex
- Female
- 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 | 2301005277 | MI | Primary |
Addresses
Primary practice location
47101 Hayes
Shelby Township, MI 48315-1213
Mailing address
47101 Hayes Rd
Shelby Township, MI 48315-1213
Phone (586) 532-9774
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102491 | Other | MI | GREAT LAKES HEALTH PLAN |
| 3357077 | Medicaid | MI | |
| 950E05212 | Other | MI | BCBSM |
| CH500091 | Other | MI | MCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poirier Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
| Purdy Chiropractic, P.L.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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 1346398104
-
- Chiropractor
- Mount Clemens, MI
- NPI 1669530432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669424396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47101 HAYES RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483151213",
"telephone_number": "586-532-9774",
"fax_number": "586-532-9767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47101 HAYES",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483151213",
"telephone_number": "586-532-9774",
"fax_number": "586-532-9767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURDY-KANAS",
"first_name": "LISA",
"middle_name": "EVELYN",
"name_prefix": "Mrs.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301005277",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH PLAN",
"identifier": "102491",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3357077",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "950E05212",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "CH500091",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.