Active NPI
Tiffany Rae Padden, D.C.
- Chiropractor
- Lakeview, MI
National Provider Identifier
1710328547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301010111
- 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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130904000869 | MI | Practitioner - Chiropractic | 6709029119 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Family Chiropractors Inc | Chiropractor | Current | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301010111 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary 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.