Individual provider Active NPI

Renee Marie Noomie, DC

  • Chiropractor
  • Troy, MI
National Provider Identifier
1871515833
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004983 Issued in MI
Practice address
1977 E Wattles
Ste a
Troy, MI 48085
Phone
(248) 524-9100
Fax
(248) 524-0614
NPI assigned
Jul 25, 2006
Last updated
Feb 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301004983 MI Primary

Addresses

Primary practice location

1977 E Wattles
Ste a
Troy, MI 48085

Mailing address

1977 E Wattles
Troy, MI 48085
Phone (248) 524-9100

Other identifiers 1

IdentifierTypeStateIssuer
950F35308OtherBC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100506000045 MI Practitioner - Chiropractic 3971631318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1977 E Wattles Rd a
Troy, MI 48085-5047
Phone (248) 524-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Renee M Noomie P C Chiropractor CurrentSince May 1, 1985 Accepting new patients
Kim Benson DC LLC Chiropractor Past Accepting new patients
Todd a. Camarata D.C., P.L.L.C. Chiropractor Past Accepting new patients

Locations

1977 E Wattles Rd
Ste A
Troy, MI 48085
Phone (248) 524-9100

Organizations & group practices 4

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1871515833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1977 E WATTLES",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48085",
            "telephone_number": "248-524-9100",
            "fax_number": "248-524-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1977 E WATTLES",
            "address_2": "STE A",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48085",
            "telephone_number": "248-524-9100",
            "fax_number": "248-524-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOOMIE",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "950F35308",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.