Individual provider Active NPI

Michael Henry Rogers, DC

  • Chiropractor
  • Pembroke, MA
National Provider Identifier
1831100593
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
601 Issued in MA
Practice address
212 Schoosett St
Pembroke, MA 02359-1822
Phone
(781) 826-6311
Fax
(781) 826-6634
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 601 MA Primary

Addresses

Primary practice location

212 Schoosett St
Pembroke, MA 02359-1822

Mailing address

212 Schoosett St
Pembroke, MA 02359-1822
Phone (781) 826-6311

Other identifiers 1

IdentifierTypeStateIssuer
1602551MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060501000094 MA Practitioner - Chiropractic 5597775999 Practice locations: West Yarmouth, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
601MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
McKenney Chiropractic Chiropractor Past Accepting new patients
South Shore Chiropractic Care, P.C. PastSince Oct 5, 2004 Accepting new patients

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1831100593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 SCHOOSETT ST",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591822",
            "telephone_number": "781-826-6311",
            "fax_number": "781-826-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 SCHOOSETT ST",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591822",
            "telephone_number": "781-826-6311",
            "fax_number": "781-826-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MICHAEL",
        "middle_name": "HENRY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1602551",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.