Individual provider Active NPI

Jaime L. Vande Veegaete, D.C.

  • Chiropractor
  • Grosse Pointe, MI
National Provider Identifier
1700992237
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
JV008381 Issued in MI
Practice address
17108 Mack Ave
Grosse Pointe, MI 48230-6239
Phone
(313) 640-7888
Fax
(313) 640-7890
NPI assigned
Aug 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X JV008381 MI Primary

Addresses

Primary practice location

17108 Mack Ave
Grosse Pointe, MI 48230-6239

Mailing address

17108 Mack Ave
Grosse Pointe, MI 48230-6239
Phone (313) 640-7888

Other identifiers 1

IdentifierTypeStateIssuer
950H254650OtherMIBLUE CROSS BLUE SHIELD MI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110415000330 MI Practitioner - Chiropractic 6204010267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17732 Mack Ave
Grosse Pointe, MI 48230-6233
Phone (313) 640-7888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
JV008381MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
All Pointes Chiropractic, LLC Chiropractor CurrentSince Apr 15, 2011 Accepting new patients
Poirier Chiropractic, Inc. Chiropractor PastSince Dec 1, 2015 Accepting new patients

Locations

17108 Mack Ave
Grosse Pointe, MI 48230
Phone (313) 640-7888

17732 Mack Ave
Grosse Pointe, MI 48230
Phone (313) 640-7888

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700992237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17108 MACK AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306239",
            "telephone_number": "313-640-7888",
            "fax_number": "313-640-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17108 MACK AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306239",
            "telephone_number": "313-640-7888",
            "fax_number": "313-640-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDE VEEGAETE",
        "first_name": "JAIME",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "JV008381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "950H254650",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe, 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.

Verify at the official NPI Registry.