Active NPI
Patrick E Chase DC Professional Corporation
- Chiropractor
- Saint Clair Shores, MI
National Provider Identifier
1710191531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- PC004238
- Legal business name
- PATRICK E CHASE DC PROFESSIONAL CORPORATION
- Practice address
- 29050 Harper Ave
Saint Clair Shores, MI 48081-1200 - Phone
- (586) 774-0091
- NPI assigned
- May 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patrick E Chase, DC
- Title
- Owner
- Phone
- (586) 774-0091
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | PC004238 | MI | Primary |
Addresses
Primary practice location
29050 Harper Ave
Saint Clair Shores, MI 48081-1200
Mailing address
29050 Harper Ave
Saint Clair Shores, MI 48081-1200
Phone (586) 774-0091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 611658500 | Other | MA | FEDERAL WORKMAN'S COMP. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Chiropractor
- Saint Clair Shores, MI
- NPI 1609950419
-
- Chiropractor
- Grand Rapids, MI
- NPI 1497467583
-
- Student in an Organized Health Care Education/Training Program
- Cinton TWP., MI
- NPI 1093233884
-
- Chiropractor
- Saint Clair Shores, MI
- NPI 1346224813
-
- Chiropractor
- Lakewood, CO
- NPI 1063688877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347926400000",
"number": "1710191531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29050 HARPER AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480811200",
"telephone_number": "586-774-0091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29050 HARPER AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480811200",
"telephone_number": "586-774-0091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICK E CHASE DC PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2012-09-18",
"status": "A",
"authorized_official_last_name": "CHASE",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-774-0091",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "PC004238",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL WORKMAN'S COMP.",
"identifier": "611658500",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.