Individual provider Active NPI

Rocky Shayne Saunders Jr., DC

  • Chiropractor
  • Allegan, MI
National Provider Identifier
1780170142
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010619 Issued in MI
Practice address
231 Trowbridge St Unit 2
Allegan, MI 49010-1386
Phone
(269) 512-7077
Fax
(260) 512-7078
NPI assigned
Jul 9, 2018
Last updated
May 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010619 MI Primary

Addresses

Primary practice location

231 Trowbridge St Unit 2
Allegan, MI 49010-1386

Mailing address

PO Box 6
Allegan, MI 49010-0006
Phone (269) 303-5528

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL saunderschiro@outlook.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181019001375 MI Practitioner - Chiropractic 0840543906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

231 Trowbridge St
Unit 2
Allegan, MI 49010-1386
Phone (269) 512-7077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saunders Chiropractic Clinic Chiropractor CurrentSince Jun 22, 2020 Accepting new patients
Specialized Family Chiropractic PC Chiropractor CurrentSince May 27, 2019 Accepting new patients
One Up Physical Therapy and Performance LLC PastSince Mar 26, 2023 Accepting new patients
Christina Hoard Chiropractic LLC Chiropractor PastSince Feb 13, 2022 Accepting new patients
Dian K. Martens D.C. Inc. Chiropractor PastSince Jun 1, 2007 Accepting new patients

Locations

231 Trowbridge St
Allegan, MI 49010
Phone (269) 512-7077

231 Trowbridge St
Unit 2
Allegan, MI 49010
Phone (269) 512-7077

5717 Oakland Dr
Ste A
Portage, MI 49024
Phone (269) 323-4473

Organizations & group practices 5

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": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1780170142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490100006",
            "telephone_number": "269-303-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 TROWBRIDGE ST UNIT 2",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101386",
            "telephone_number": "269-512-7077",
            "fax_number": "260-512-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "ROCKY",
        "middle_name": "SHAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "saunderschiro@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "231 Trowbridge St Unit 2",
            "city": "Allegan",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490101386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allegan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.