Organization Active NPI

Lapeer Chiropractic Centre PC

  • Chiropractor
  • Lapeer, MI
National Provider Identifier
1720117880
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007261 Issued in MI
Legal business name
LAPEER CHIROPRACTIC CENTRE PC
Practice address
498 S Main St
Lapeer, MI 48446-2427
Phone
(810) 664-5310
Fax
(810) 664-0221
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Dr. Mark H. Ochadleus, DCNPI 1811031891
Title
Chiroprator
Phone
(810) 664-5310

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301007261 MI Primary

Addresses

Primary practice location

498 S Main St
Lapeer, MI 48446-2427

Mailing address

498 S Main St
Lapeer, MI 48446-2427
Phone (810) 664-5310

Other identifiers 6

IdentifierTypeStateIssuer
3260193 TYPE 14MedicaidMI
950D450220OtherMIBLUE CARE NETWORK
950D450220OtherMIBLUE CROSS BLUE SHIELD
CH 440004OtherMIMCARE
0980076OtherMIHEALTH PLUS
10369OtherMIGREAT LAKES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100512000205 MI Part B Supplier - Clinic/Group Practice 7911035944 Receives reassigned benefits from 1 practitioner
Practice locations: Lapeer, MI

National Provider Directory

National Provider Directory

Locations

498 S Main St
Lapeer, MI 48446
Phone (810) 664-5310

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1720117880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 S MAIN ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462427",
            "telephone_number": "810-664-5310",
            "fax_number": "810-664-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 S MAIN ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462427",
            "telephone_number": "810-664-5310",
            "fax_number": "810-664-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPEER CHIROPRACTIC CENTRE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "OCHADLEUS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CHIROPRATOR",
        "authorized_official_telephone_number": "810-664-5310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3260193 TYPE 14",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "950D450220",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950D450220",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "CH 440004",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0980076",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES",
            "identifier": "10369",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.

Verify at the official NPI Registry.