Active NPI
Martin L Cousineau, DC
- Chiropractor
- Clio, MI
National Provider Identifier
1699980185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2837
- Practice address
- 143 W Vienna St
Clio, MI 48420-1333 - Phone
- (810) 686-7770
- Fax
- (810) 686-7776
- NPI assigned
- May 10, 2007
- Last updated
- Jul 8, 2007
- 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 | 2837 | MI | Primary |
Addresses
Primary practice location
143 W Vienna St
Clio, MI 48420-1333
Mailing address
143 W Vienna St
Clio, MI 48420-1333
Phone (810) 686-7770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080612000600 | MI | Practitioner - Chiropractic | 9335210772 | Practice locations: Clio, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
143 W Vienna St
Clio, MI 48420-1333
Phone (810) 686-7770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2837 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699980185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 W VIENNA ST",
"city": "CLIO",
"state": "MI",
"postal_code": "484201333",
"telephone_number": "810-686-7770",
"fax_number": "810-686-7776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 W VIENNA ST",
"city": "CLIO",
"state": "MI",
"postal_code": "484201333",
"telephone_number": "810-686-7770",
"fax_number": "810-686-7776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUSINEAU",
"first_name": "MARTIN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clio, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.