Individual provider Active NPI

Jean-Guy Daigneault, DC

  • Chiropractor
  • Lansing, MI
National Provider Identifier
1811972961
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007956 Issued in MI
Practice address
537 N Clippert St
Lansing, MI 48912-4740
Phone
(517) 203-2090
Fax
(517) 203-2092
NPI assigned
Dec 13, 2005
Last updated
Jul 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 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 2301007956 MI Primary

Addresses

Primary practice location

537 N Clippert St
Lansing, MI 48912-4740

Mailing address

537 N Clippert St
Lansing, MI 48912-4740
Phone (517) 203-2090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120120000180 MI Practitioner - Chiropractic 6800810144 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1999
Medicare assignment
May accept Medicare assignment
Group practices
In 8 PCGroup PAC ID 1557385895, 2 clinicians

Practice addresses (Care Compare)

537 N Clippert St
Lansing, MI 48912-4740
Phone (517) 336-8880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301007956MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
In 8 PC Chiropractor CurrentSince Nov 1, 2000 Accepting new patients
Gilead Healing Ministries Chiropractor CurrentSince Jun 1, 2017 Accepting new patients

Locations

306 S Creyts Rd
Lansing, MI 48917
Phone (517) 204-1604

537 N Clippert St
Lansing, MI 48912
Phone (517) 203-2090

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, 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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1811972961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 N CLIPPERT ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124740",
            "telephone_number": "517-203-2090",
            "fax_number": "517-203-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 N CLIPPERT ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124740",
            "telephone_number": "517-203-2090",
            "fax_number": "517-203-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIGNEAULT",
        "first_name": "JEAN-GUY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.