Active NPI
Paul J. Ovares, D.C.
- Chiropractor
- Taylor, MI
National Provider Identifier
1770614190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301004420
- Practice address
- 10060 Pelham Rd
Taylor, MI 48180-3831 - Phone
- (313) 292-4200
- Fax
- (313) 292-4242
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301004420 | MI | Primary |
Addresses
Primary practice location
10060 Pelham Rd
Taylor, MI 48180-3831
Mailing address
10060 Pelham Rd
Taylor, MI 48180-3831
Phone (313) 292-4200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2114495 | Medicaid | MI | |
| PO004420 | Other | MI | COMMERCIAL |
| PO004420 | Other | MI | WORK COMP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040305000349 | MI | Practitioner - Chiropractic | 3476441114 | Practice locations: Taylor, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10060 Pelham Rd
Taylor, MI 48180-3831
Phone (313) 292-4200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301004420 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770614190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10060 PELHAM RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481803831",
"telephone_number": "313-292-4200",
"fax_number": "313-292-4242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10060 PELHAM RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481803831",
"telephone_number": "313-292-4200",
"fax_number": "313-292-4242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVARES",
"first_name": "PAUL",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301004420",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2114495",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "PO004420",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORK COMP",
"identifier": "PO004420",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.