Individual provider Active NPI

Sarah Beth Prater-Manor, D.C.

  • Chiropractor
  • Farmington Hills, MI
National Provider Identifier
1700168960
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009805 Issued in MI
Practice address
24907 Arden Park Dr
Farmington Hills, MI 48336-2213
Phone
(248) 789-5430
NPI assigned
Sep 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009805 MI Primary

Addresses

Primary practice location

24907 Arden Park Dr
Farmington Hills, MI 48336-2213

Mailing address

24907 Arden Park Dr
Farmington Hills, MI 48336-2213
Phone (248) 789-5430

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121019000571 MI Practitioner - Chiropractic 7315197704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Positively Chiropractic LLCGroup PAC ID 1658521018, 3 clinicians

Practice addresses (Care Compare)

134 E Main St
Suite a
Stockbridge, MI 49285-9482
Phone (517) 851-3850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Positively Chiropractic LLC Chiropractor CurrentSince Jun 5, 2012 Accepting new patients

Organizations & group practices 1

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": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1700168960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24907 ARDEN PARK DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362213",
            "telephone_number": "248-789-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24907 ARDEN PARK DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362213",
            "telephone_number": "248-789-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATER-MANOR",
        "first_name": "SARAH",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.