Individual provider Active NPI

Douglas Allen McLeod, D.C

  • Chiropractor
  • Eastpointe, MI
National Provider Identifier
1780737619
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005579 Issued in MI
Practice address
21349 Kelly Rd
Eastpointe, MI 48021-3217
Phone
(586) 774-8492
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301005579 MI Primary

Addresses

Primary practice location

21349 Kelly Rd
Eastpointe, MI 48021-3217

Mailing address

21349 Kelly Rd
Eastpointe, MI 48021-3217
Phone (586) 774-8492

Other identifiers 1

IdentifierTypeStateIssuer
2693066MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070723000370 MI Practitioner - Chiropractic 1153422068 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21349 Kelly Rd
Eastpointe, MI 48021-3268
Phone (586) 774-8492

53505 Van Dyke Ave
Shelby Township, MI 48316-1861
Phone (586) 992-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Shelby Chiropractic PC Chiropractor CurrentSince Oct 28, 2009 Accepting new patients
McLeod Eastpointe Chiropractic, PC Chiropractor CurrentSince Jan 1, 2006 Accepting new patients

Locations

21349 Kelly Rd
Eastpointe, MI 48021
Phone (586) 774-7788

53505 Van Dyke Ave
Shelby Township, MI 48316
Phone (586) 580-1752

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1780737619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21349 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213217",
            "telephone_number": "586-774-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21349 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213217",
            "telephone_number": "586-774-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "DOUGLAS",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2693066",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.