Individual provider Active NPI

Sharon K Himelhoch, DC

  • Chiropractor
  • Burton, MI
National Provider Identifier
1710090030
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301006867 Issued in MI
Practice address
4085 S Center Rd
Burton, MI 48519
Phone
(810) 744-4251
Fax
(810) 744-1039
NPI assigned
Aug 17, 2006
Last updated
Nov 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301006867 MI Primary

Addresses

Primary practice location

4085 S Center Rd
Burton, MI 48519

Mailing address

4085 S Center Rd
Burton, MI 48519-1957
Phone (810) 744-4251

Other identifiers 4

IdentifierTypeStateIssuer
0050461700OtherHEALTH PLUS
0B55193OtherBCBS
2991774MedicaidMI
P00098330OtherPALMETTO RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2301006867MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sharon K Randall DC PC Chiropractor Past 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, 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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1710090030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191957",
            "telephone_number": "810-744-4251",
            "fax_number": "810-744-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "48519",
            "telephone_number": "810-744-4251",
            "fax_number": "810-744-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMELHOCH",
        "first_name": "SHARON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0050461700",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0B55193",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2991774",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RAILROAD",
            "identifier": "P00098330",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.