Active NPI
James Scott Rubenstein, DC
- Chiropractor
- Shelby TWP, MI
National Provider Identifier
1881708907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301008191
- Practice address
- 54820 Mound Rd
Shelby TWP, MI 48316-1705 - Phone
- (586) 677-1616
- NPI assigned
- Aug 18, 2006
- 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 | 2301008191 | MI | Primary |
Addresses
Primary practice location
54820 Mound Rd
Shelby TWP, MI 48316-1705
Mailing address
54820 Mound Rd
Shelby TWP, MI 48316-1705
Phone (586) 677-1616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950E053500 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
54820 Mound Rd
Shelby Township, MI 48316-1705
Phone (586) 677-1616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301008191 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifestyle Chiropractic Health Center | Chiropractor | Current | Accepting new patients |
Locations
54820 Mound Rd
Shelby Township, MI 48316
Phone (568) 677-1616
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.
-
- Chiropractor
- Shelby Township, MI
- NPI 1790956274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1881708907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54820 MOUND RD",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483161705",
"telephone_number": "586-677-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54820 MOUND RD",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483161705",
"telephone_number": "586-677-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBENSTEIN",
"first_name": "JAMES",
"middle_name": "SCOTT",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301008191",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "950E053500",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelby TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.