Individual provider Active NPI

Adam James Armbruster

  • Chiropractor
  • Port Huron, MI
National Provider Identifier
1891021978
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
111NN0000X Issued in MI
Practice address
1002 10TH Ave
Port Huron, MI 48060-3402
Phone
(810) 989-7429
Fax
(810) 989-2001
NPI assigned
Oct 26, 2009
Last updated
Oct 26, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 111NN0000X MI Primary

Addresses

Primary practice location

1002 10TH Ave
Port Huron, MI 48060-3402

Mailing address

1002 10TH Ave
Port Huron, MI 48060-3402
Phone (810) 989-7429

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100205000109 MI Practitioner - Chiropractic 1658414107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shaw Chiropractic, PCGroup PAC ID 6406954437, 2 clinicians

Practice addresses (Care Compare)

1002 10TH Ave
Port Huron, MI 48060-3402
Phone (810) 989-7429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111NN0000XMIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Shaw Chiropractic, PC Chiropractor CurrentSince Jan 26, 2010 Accepting new patients

Locations

1002 10th Ave
Port Huron, MI 48060
Phone (810) 985-8026

Interoperability endpoints

  • Direct secure messaging: doc2@sc0061.direct.chirotouch.md

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": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1891021978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 10TH AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603402",
            "telephone_number": "810-989-7429",
            "fax_number": "810-989-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 10TH AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603402",
            "telephone_number": "810-989-7429",
            "fax_number": "810-989-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMBRUSTER",
        "first_name": "ADAM",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "111NN0000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.