Organization Active NPI

McCauley Chiropractic PC

Doing business as McCauley Chiropractic

  • Chiropractor
  • Rochester, MI
National Provider Identifier
1699976639
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0910334 Issued in MI
Legal business name
MCCAULEY CHIROPRACTIC PC
Doing business as
McCauley Chiropractic
Practice address
115 S Main St
Rochester, MI 48307-2032
Phone
(248) 650-5525
Fax
(248) 650-5544
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Dr. Kenneth Paul McCauley, D.C.NPI 1376653477
Title
Owner
Phone
(248) 650-5525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0910334 MI Primary

Addresses

Primary practice location

115 S Main St
Rochester, MI 48307-2032

Mailing address

115 S Main St
Rochester, MI 48307-2032
Phone (248) 650-5525

Other identifiers 1

IdentifierTypeStateIssuer
950F32999OtherMIBLUE CROSS

Other names 1

  • McCauley Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060509000105 MI Part B Supplier - Clinic/Group Practice 8820009657 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1699976639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S MAIN ST",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072032",
            "telephone_number": "248-650-5525",
            "fax_number": "248-650-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S MAIN ST",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072032",
            "telephone_number": "248-650-5525",
            "fax_number": "248-650-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCAULEY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "MCCAULEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-650-5525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "0910334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "950F32999",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCauley Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.