Active NPI
Michael Kevin Monroe, DC
- Chiropractor
- West Jefferson, OH
National Provider Identifier
1871595595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1750
- Practice address
- 25 Inwood Rd
West Jefferson, OH 43162-1112 - Phone
- (614) 879-5070
- Fax
- (614) 879-5023
- NPI assigned
- Aug 12, 2005
- Last updated
- Sep 18, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1750 | OH | Primary |
Addresses
Primary practice location
25 Inwood Rd
West Jefferson, OH 43162-1112
Mailing address
25 Inwood Rd
West Jefferson, OH 43162-1112
Phone (614) 879-5070
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44-00105 | Other | UNITED HEALTH CARE # | |
| 000000119775 | Other | ANTHEM BC/BS | |
| 1750 | Other | OH | STATE LICENSE # |
| 0855436 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Inwood Rd
West Jefferson, OH 43162-1112
Phone (614) 879-5070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1750 | OH | MD | Chiropractor |
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": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410998400000",
"number": "1871595595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 INWOOD RD",
"city": "WEST JEFFERSON",
"state": "OH",
"postal_code": "431621112",
"telephone_number": "614-879-5070",
"fax_number": "614-879-5023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 INWOOD RD",
"city": "WEST JEFFERSON",
"state": "OH",
"postal_code": "431621112",
"telephone_number": "614-879-5070",
"fax_number": "614-879-5023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONROE",
"first_name": "MICHAEL",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2014-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "1750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE #",
"identifier": "44-00105",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000119775",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "1750",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0855436",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Jefferson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.