Individual provider Active NPI

Jamie Conant, D.C.

  • Chiropractor
  • Monroe, MI
National Provider Identifier
1700969433
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008907 Issued in MI
Practice address
15555 S Telegraph Rd Ste 6
Monroe, MI 48161-4000
Phone
(734) 384-3933
Fax
(734) 430-8199
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008907 MI Primary

Addresses

Primary practice location

15555 S Telegraph Rd Ste 6
Monroe, MI 48161-4000

Mailing address

15555 S Telegraph Rd Ste 6
Monroe, MI 48161-4000
Phone (734) 384-3933

Other identifiers 2

IdentifierTypeStateIssuer
0P10820MedicaidMI
4716544MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050223000295 MI Practitioner - Chiropractic 7911950696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15555 S Telegraph Rd
Suite 6
Monroe, MI 48161-4000
Phone (734) 384-3933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301008907MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Conant Health and Wellness Center PC Chiropractor CurrentSince Nov 15, 2004 Accepting new patients
Conant Chiropractic Clinic PC Chiropractor Past Accepting new patients

Locations

15555 S Telegraph Rd
Ste 6
Monroe, MI 48161
Phone (734) 384-3933

15364 S Telegraph Rd
Monroe, MI 48161
Phone (734) 241-1191

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1700969433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15555 S TELEGRAPH RD STE 6",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481614000",
            "telephone_number": "734-384-3933",
            "fax_number": "734-430-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15555 S TELEGRAPH RD STE 6",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481614000",
            "telephone_number": "734-384-3933",
            "fax_number": "734-430-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONANT",
        "first_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0P10820",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4716544",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.