Active NPI
Aaron Lee Rackham, D.C.
- Chiropractor
- Greenville, MI
National Provider Identifier
1902865504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301005984
- Practice address
- 9396 SW Greenville Rd
Greenville, MI 48838-9445 - Phone
- (616) 754-7717
- Fax
- (616) 754-7791
- NPI assigned
- Mar 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 2301005984 | MI | Primary |
Addresses
Primary practice location
9396 SW Greenville Rd
Greenville, MI 48838-9445
Mailing address
9396 SW Greenville Rd
Greenville, MI 48838-9445
Phone (616) 754-7717
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2910050 | Medicaid | MI | |
| 950E910580 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050511000937 | MI | Practitioner - Chiropractic | 0345138707 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9396 SW Greenville Rd
Greenville, MI 48838-9445
Phone (616) 754-7717
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caro Chiropractic PC | Chiropractor | Past | Accepting new patients |
| Chiropractic Wellness Center of Caro PLLC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Caro, MI
- NPI 1801470554
-
- Chiropractor
- Caro, MI
- NPI 1356502249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1902865504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9396 SW GREENVILLE RD",
"city": "GREENVILLE",
"state": "MI",
"postal_code": "488389445",
"telephone_number": "616-754-7717",
"fax_number": "616-754-7791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9396 SW GREENVILLE RD",
"city": "GREENVILLE",
"state": "MI",
"postal_code": "488389445",
"telephone_number": "616-754-7717",
"fax_number": "616-754-7791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACKHAM",
"first_name": "AARON",
"middle_name": "LEE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301005984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2910050",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "950E910580",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.