Individual provider Active NPI

David J McFadden, D.C.

  • Chiropractor
  • Clinton Township, MI
National Provider Identifier
1720287410
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009192 Issued in MI
Practice address
21360 Cass Ave
Clinton Township, MI 48036-1482
Phone
(586) 468-6868
NPI assigned
Jul 13, 2007
Last updated
Apr 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009192 MI Primary

Addresses

Primary practice location

21360 Cass Ave
Clinton Township, MI 48036-1482

Mailing address

PO Box 532
Mount Clemens, MI 48046-0532
Phone (586) 468-6868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071121000275 MI Practitioner - Chiropractic 4880782010 Reassigns benefits to 1 organization
Practice locations: Clinton Township, MI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21360 Cass Ave
Clinton Township, MI 48036-1450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009192MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bath City Chiropractic Clinic PLLC CurrentSince Feb 2, 2009 Accepting new patients
Aim Dynamic Healthcare PLLC Chiropractor CurrentSince Oct 27, 2024 Accepting new patients

Locations

21360 Cass Ave
Clinton Township, MI 48036
Phone (586) 468-6868

21360 Cass Ave
Ste C
Clinton Township, MI 48036
Phone (586) 468-6868

1430 Gratiot Ave
Mount Clemens, MI 48043

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1720287410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480460532",
            "telephone_number": "586-468-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21360 CASS AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361482",
            "telephone_number": "586-468-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.