Individual provider Active NPI

Richard K Sowerby, D.C.

  • Chiropractor
  • Troy, MI
National Provider Identifier
1679674881
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005328 Issued in MI
Practice address
1953 South Blvd W
Troy, MI 48098-1786
Phone
(248) 879-1900
NPI assigned
Sep 26, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301005328 MI Primary

Addresses

Primary practice location

1953 South Blvd W
Troy, MI 48098-1786

Mailing address

1953 South Blvd W
Troy, MI 48098-1786
Phone (248) 879-1900

Other identifiers 1

IdentifierTypeStateIssuer
0004641345OtherMIAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090706000038 MI Practitioner - Chiropractic 4385795392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1953 S Blvd W
Troy, MI 48098-1786
Phone (248) 879-1900

1953 W S Blvd
Troy, MI 48098-1786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301005328MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard K Sowerby DC PLLC Chiropractor CurrentSince May 29, 2013 Accepting new patients
Clear Choice Chiropractic, PC Chiropractor Past Accepting new patients

Locations

1953 South Blvd W
Troy, MI 48098
Phone (248) 879-1900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679674881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 SOUTH BLVD W",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480981786",
            "telephone_number": "248-879-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 SOUTH BLVD W",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480981786",
            "telephone_number": "248-879-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWERBY",
        "first_name": "RICHARD",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004641345",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

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