Individual provider Active NPI

Tiffany Rae Padden, D.C.

  • Chiropractor
  • Lakeview, MI
National Provider Identifier
1710328547
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010111 Issued in MI
Practice address
960 S Lincoln Ave
Lakeview, MI 48850-9178
Phone
(989) 352-8283
Fax
(989) 352-5723
NPI assigned
Jul 9, 2013
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeview Family Chiropractors, Inc 4 clinicians

Practice addresses (Care Compare)

960 S Lincoln Ave
Lakeview, MI 48850-9178
Phone (989) 352-8283

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20130904000869 MI Practitioner - Chiropractic 6709029119 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Family Chiropractors Inc Chiropractor CurrentSince Jul 9, 2013 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010111 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

960 S Lincoln Ave
Lakeview, MI 48850-9178

Mailing address

PO Box 649
Lakeview, MI 48850-0649
Phone (989) 352-8283

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2013.

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1710328547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649",
            "city": "LAKEVIEW",
            "state": "MI",
            "postal_code": "488500649",
            "telephone_number": "989-352-8283",
            "fax_number": "989-352-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 S LINCOLN AVE",
            "city": "LAKEVIEW",
            "state": "MI",
            "postal_code": "488509178",
            "telephone_number": "989-352-8283",
            "fax_number": "989-352-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADDEN",
        "first_name": "TIFFANY",
        "middle_name": "RAE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeview, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.