Individual provider Active NPI

Edward Carlton McCuiston III, D.C.

  • Chiropractor
  • Shelby Township, MI
National Provider Identifier
1801827712
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008011 Issued in MI
Practice address
46755 Hayes Rd
Shelby Township, MI 48315-5507
Phone
(586) 532-5433
Fax
(586) 566-5250
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008011 MI Primary

Addresses

Primary practice location

46755 Hayes Rd
Shelby Township, MI 48315-5507

Mailing address

2128 Hillsdale
Shelby Township, MI 48316-1236
Phone (248) 608-0993

Other identifiers 1

IdentifierTypeStateIssuer
BLUE CROSSOtherMIEM008011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101105001104 MI Practitioner - Chiropractic 9436343761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Touch of Life P.C.Group PAC ID 7618161944, 2 clinicians

Practice addresses (Care Compare)

46755 Hayes Rd
Shelby Township, MI 48315-5507
Phone (586) 532-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Touch of Life P.C. Chiropractor CurrentSince Apr 10, 2003 Accepting new patients

Locations

46755 Hayes Rd
Shelby Township, MI 48315
Phone (586) 532-5433

Organizations & group practices 1

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801827712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 HILLSDALE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483161236",
            "telephone_number": "248-608-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46755 HAYES RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483155507",
            "telephone_number": "586-532-5433",
            "fax_number": "586-566-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUISTON",
        "first_name": "EDWARD",
        "middle_name": "CARLTON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EM008011",
            "identifier": "BLUE CROSS",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, 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.

Verify at the official NPI Registry.