Individual provider Active NPI

Jonathan D Cromwell, D.C.

  • Chiropractor
  • Farmington, MI
National Provider Identifier
1902963622
Registry record updated Jun 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005887 Issued in MI
Practice address
23280 Farmington Rd
Farmington, MI 48336-3100
Phone
(248) 477-1492
Fax
(248) 474-9099
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301005887 MI Primary

Addresses

Primary practice location

23280 Farmington Rd
Farmington, MI 48336-3100

Mailing address

23280 Farmington Rd
Farmington, MI 48336-3100
Phone (248) 477-1492

Other identifiers 3

IdentifierTypeStateIssuer
950F35388OtherMIBCBS
2831233MedicaidMI
383195957OtherMIPPOM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120313000762 MI Practitioner - Chiropractic 3870752793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathan Cromwell D.C., P.C.Group PAC ID 2163681073, 4 clinicians

Practice addresses (Care Compare)

23280 Farmington Rd
Farmington, MI 48336-3100
Phone (248) 477-1492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Cromwell D.C., P.C. Chiropractor CurrentSince Dec 10, 2011 Accepting new patients
Stoller Clinic PC Dba the Lowen Clinic Chiropractor PastSince Dec 10, 2011 Accepting new patients

Locations

23280 Farmington Rd
Farmington, MI 48336
Phone (248) 474-4484

33211 Grand River Ave
Ste B
Farmington, MI 48336
Phone (248) 477-1492

Organizations & group practices 2

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339200000000",
    "number": "1902963622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23280 FARMINGTON RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363100",
            "telephone_number": "248-477-1492",
            "fax_number": "248-477-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23280 FARMINGTON RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363100",
            "telephone_number": "248-477-1492",
            "fax_number": "248-474-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROMWELL",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950F35388",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2831233",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM",
            "identifier": "383195957",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.