Individual provider Active NPI

James Robert Eckman Jr., D.C.

  • Chiropractor
  • Dowagiac, MI
National Provider Identifier
1821149956
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008329 Issued in MI
Practice address
300 Whitney St
Suite a
Dowagiac, MI 49047-1672
Phone
(269) 782-1144
Fax
(269) 782-1145
NPI assigned
Jan 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 2301008329 MI Primary

Addresses

Primary practice location

300 Whitney St
Suite a
Dowagiac, MI 49047-1672

Mailing address

300 Whitney St
Suite a
Dowagiac, MI 49047-1672
Phone (269) 782-1144

Other identifiers 2

IdentifierTypeStateIssuer
950A450100OtherMIBCBS OF MI
4361261MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100909000377 MI Practitioner - Chiropractic 8527183987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

56119 M 51
Dowagiac, MI 49047-9762
Phone (269) 782-1144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301008329MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eckman Chiropractic Clinic PLLC Chiropractor CurrentSince Nov 26, 2001 Accepting new patients

Locations

300 Whitney St
Ste A
Dowagiac, MI 49047
Phone (269) 782-1144

56119 M 51 S
Dowagiac, MI 49047
Phone (269) 782-1144

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, 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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821149956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WHITNEY ST",
            "address_2": "SUITE A",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490471672",
            "telephone_number": "269-782-1144",
            "fax_number": "269-782-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WHITNEY ST",
            "address_2": "SUITE A",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490471672",
            "telephone_number": "269-782-1144",
            "fax_number": "269-782-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKMAN",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "950A450100",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4361261",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dowagiac, 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.