Individual provider Active NPI

Jennifer Michelle McCartney, DC

  • Chiropractor
  • Royal Oak, MI
National Provider Identifier
1699076059
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009646 Issued in MI
Practice address
3302 Crooks Rd
Royal Oak, MI 48073-2446
Phone
(248) 629-6071
Fax
(248) 629-6073
NPI assigned
Nov 16, 2010
Last updated
Oct 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009646 MI Primary

Addresses

Primary practice location

3302 Crooks Rd
Royal Oak, MI 48073-2446

Mailing address

3302 Crooks Rd
Royal Oak, MI 48073-2446
Phone (248) 629-6071

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110615000606 MI Practitioner - Chiropractic 7517144751 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McCartney Family Chiropractic and Wellness PCGroup PAC ID 7719102607, 2 clinicians

Practice addresses (Care Compare)

1079 S Baldwin Rd
Lake Orion, MI 48360-1045
Phone (248) 391-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Wellness Family Chiropractic, Inc Chiropractor CurrentSince Jan 1, 2016 Accepting new patients
McCartney Family Chiropractic and Wellness PC Chiropractor CurrentSince Mar 7, 2018 Accepting new patients
Optimal Wellness Chiropractic, PLLC Chiropractor Past Accepting new patients
Gregg Chiropractic Life Center North P.C. Chiropractor PastSince Mar 7, 2018 Accepting new patients

Locations

1079 S Baldwin Rd
Lake Orion, MI 48360
Phone (248) 391-1600

3302 Crooks Rd
Royal Oak, MI 48073
Phone (248) 629-6071

3318 N Main St
Royal Oak, MI 48073
Phone (248) 629-6071

Organizations & group practices 4

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": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1699076059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 CROOKS RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480732446",
            "telephone_number": "248-629-6071",
            "fax_number": "248-629-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 CROOKS RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480732446",
            "telephone_number": "248-629-6071",
            "fax_number": "248-629-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTNEY",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.