Individual provider Active NPI

Jacob Thomas, DC

  • Chiropractor
  • Rochester Hills, MI
National Provider Identifier
1811764210
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301401438 Issued in MI
Practice address
2100 W Auburn Rd
Rochester Hills, MI 48309-3632
Phone
(248) 468-1662
NPI assigned
Dec 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301401438 MI Primary

Addresses

Primary practice location

2100 W Auburn Rd
Rochester Hills, MI 48309-3632

Mailing address

2100 W Auburn Rd
Rochester Hills, MI 48309-3632
Phone (248) 468-1662

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231209000709 MI Practitioner - Chiropractic 6002265535 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Embrace Life Chiropractic LLCGroup PAC ID 8921315979, 3 clinicians

Practice addresses (Care Compare)

2100 W Auburn Rd
Rochester Hills, MI 48309-3632
Phone (248) 468-1662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301401438MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Life Chiropractic LLC Chiropractor CurrentSince Nov 27, 2023 Accepting new patients
Embrace Life Chiropractic LLC Oxford Chiropractor CurrentSince Jan 2, 2025 Accepting new patients
Lucinda P Burke DC PC Chiropractor PastSince Jan 2, 2025 Accepting new patients

Locations

142 S Washington St
Oxford, MI 48371
Phone (248) 628-2891

2100 W Auburn Rd
Rochester Hills, MI 48309
Phone (248) 468-1662

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1811764210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W AUBURN RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093632",
            "telephone_number": "248-468-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W AUBURN RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093632",
            "telephone_number": "248-468-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-06",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.