Individual provider Active NPI

Arthur J. Vanhoutteghem, D.C.

  • Chiropractor
  • Saint Clair Shores, MI
National Provider Identifier
1871566943
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004558 Issued in MI
Practice address
21231 Lakeland St
Saint Clair Shores, MI 48081
Phone
(586) 777-7463
Fax
(586) 777-6103
NPI assigned
Feb 9, 2006
Last updated
Jun 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301004558 MI Primary

Addresses

Primary practice location

21231 Lakeland St
Saint Clair Shores, MI 48081

Mailing address

21231 Lakeland St
Saint Clair Shores, MI 48081-3368
Phone (586) 777-7463

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040614000154 MI Practitioner - Chiropractic 1052395654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21231 Lakeland St
Saint Clair Shores, MI 48081-3368
Phone (586) 777-7463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vanhoutteghem Chiropractic Clinic Chiropractor CurrentSince Oct 15, 1981 Accepting new patients

Locations

27206 Harper Ave
Saint Clair Shores, MI 48081
Phone (586) 777-7463

25630 Little Mack Ave
St Clr Shores, MI 48081
Phone (586) 774-1180

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1871566943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21231 LAKELAND ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813368",
            "telephone_number": "586-777-7463",
            "fax_number": "586-777-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21231 LAKELAND ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "48081",
            "telephone_number": "586-777-7463",
            "fax_number": "586-777-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHOUTTEGHEM",
        "first_name": "ARTHUR",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.