Active NPI
Randy S Randhawa, D.C.
- Chiropractor
- Okemos, MI
National Provider Identifier
1699723940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301008521
- 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
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 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2301008521 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In 8 PC | Chiropractor | Current | 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.
-
- Chiropractor
- East Lansing, MI
- NPI 1568533370
-
- Chiropractor
- Lansing, MI
- NPI 1407071228
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.