Individual provider Active NPI

Steven Frederick Manuel, D.C

  • Chiropractor
  • East Lansing, MI
National Provider Identifier
1881815710
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008046 Issued in MI
Practice address
1103 Trowbridge Rd
East Lansing, MI 48823-5221
Phone
(517) 487-2225
Fax
(763) 427-3260
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4289 MN
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301008046 MI Primary

Addresses

Primary practice location

1103 Trowbridge Rd
East Lansing, MI 48823-5221

Mailing address

1103 Trowbridge Rd
East Lansing, MI 48823-5221
Phone (517) 487-2225

Other identifiers 1

IdentifierTypeStateIssuer
206915600MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070808000606 MI Practitioner - Chiropractic 4385607837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1103 Trowbridge Rd
East Lansing, MI 48823-5221
Phone (517) 487-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Spine Chiropractic Wellness Center PLC Chiropractor CurrentSince Dec 16, 2022 Accepting new patients
Manuel Chiropractic Center Chiropractor PastSince Aug 30, 2002 Accepting new patients
Craft Chiropractic Center PC Chiropractor Past Accepting new patients

Locations

1103 Trowbridge Rd
East Lansing, MI 48823
Phone (517) 487-2225

Organizations & group practices 3

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1881815710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 TROWBRIDGE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235221",
            "telephone_number": "517-487-2225",
            "fax_number": "763-427-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 TROWBRIDGE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235221",
            "telephone_number": "517-487-2225",
            "fax_number": "763-427-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "STEVEN",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4289",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206915600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.