Individual provider Active NPI

Randy S Randhawa, D.C.

  • Chiropractor
  • Okemos, MI
National Provider Identifier
1699723940
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008521 Issued in MI
Practice address
4612 Okemos Rd
Okemos, MI 48864-1796
Phone
(517) 381-9988
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008521 MI Primary

Addresses

Primary practice location

4612 Okemos Rd
Okemos, MI 48864-1796

Mailing address

2085 Belding CT
Okemos, MI 48864-3656
Phone (517) 203-2090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050512000202 MI Practitioner - Chiropractic 9739129404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2001
Medicare assignment
May accept Medicare assignment
Group practices
In 8 PCGroup PAC ID 1557385895, 2 clinicians

Practice addresses (Care Compare)

537 N Clippert St
Lansing, MI 48912-4740
Phone (517) 336-8880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301008521MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
In 8 PC Chiropractor CurrentSince Jan 2, 2014 Accepting new patients
Greater Lansing Chiropractic Clinics Inc Chiropractor Past Accepting new patients

Locations

537 N Clippert St
Lansing, MI 48912
Phone (517) 203-2090

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1699723940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 BELDING CT",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643656",
            "telephone_number": "517-203-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 OKEMOS RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641796",
            "telephone_number": "517-381-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDHAWA",
        "first_name": "RANDY",
        "middle_name": "S",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.