Individual provider Active NPI

David Routley III, DC

  • Chiropractor
  • Mecosta, MI
National Provider Identifier
1720036403
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005841 Issued in MI
Practice address
6604 9 Mile Rd
Mecosta, MI 49332-9703
Phone
(231) 972-4141
Fax
(231) 972-7507
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 005841 MI Primary

Addresses

Primary practice location

6604 9 Mile Rd
Mecosta, MI 49332-9703

Mailing address

PO Box 363
Mecosta, MI 49332-0363
Phone (231) 972-4141

Other practice location 1

8540 105th Ave
Stanwood, MI 49346-9764
Phone (231) 972-4141

Other identifiers 1

IdentifierTypeStateIssuer
142831242MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060609000085 MI Practitioner - Chiropractic 9537171517 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005841MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Routley Chiropractic Care Center P C Chiropractor CurrentSince Nov 14, 2008 Accepting new patients
Routley Chiropractic Care Center Chiropractor PastSince Jul 1, 2001 Accepting new patients

Locations

6604 9 Mile Rd
Mecosta, MI 49332
Phone (231) 972-4141

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6604 9 Mile Rd
Mecosta, MI 49332-9703
Phone (231) 972-4141

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1720036403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363",
            "city": "MECOSTA",
            "state": "MI",
            "postal_code": "493320363",
            "telephone_number": "231-972-4141",
            "fax_number": "231-972-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6604 9 MILE RD",
            "city": "MECOSTA",
            "state": "MI",
            "postal_code": "493329703",
            "telephone_number": "231-972-4141",
            "fax_number": "231-972-7507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8540 105th Ave",
            "address_purpose": "LOCATION",
            "city": "Stanwood",
            "state": "MI",
            "postal_code": "493469764",
            "country_code": "US",
            "telephone_number": "231-972-4141",
            "fax_number": "231-972-7507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUTLEY",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "005841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142831242",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mecosta, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.