Active NPI
Michael W Winkler, DC
- Chiropractor
- Traverse City, MI
National Provider Identifier
1679624050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301005055
- Practice address
- 115 E 14TH St
Traverse City, MI 49684-3220 - Phone
- (231) 922-8080
- Fax
- (231) 922-8081
- NPI assigned
- Jan 14, 2007
- Last updated
- Dec 4, 2016
- 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 | 2301005055 | MI | Primary |
Addresses
Primary practice location
115 E 14TH St
Traverse City, MI 49684-3220
Mailing address
PO Box 5345
Traverse City, MI 49696-5345
Phone (231) 922-8080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609970 | Medicaid | MI | |
| 950B85022-0 | Other | MI | BCBS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301005055 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 14TH Street Chiropractic, PLLC | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba 14th Street Chiropractic
- Chiropractor
- Traverse City, MI
- NPI 1215369335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480809600000",
"number": "1679624050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5345",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496965345",
"telephone_number": "231-922-8080",
"fax_number": "231-922-8081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E 14TH ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496843220",
"telephone_number": "231-922-8080",
"fax_number": "231-922-8081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINKLER",
"first_name": "MICHAEL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-14",
"last_updated": "2016-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301005055",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609970",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "950B85022-0",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.