Individual provider Active NPI

Michele Patricia O'Brien, D.C.

  • Chiropractor
  • Muskegon, MI
National Provider Identifier
1912368051
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009265 Issued in MI
Practice address
1519 E River Rd Ste B
Muskegon, MI 49445-8591
Phone
(231) 744-6400
Fax
(231) 744-6464
NPI assigned
Mar 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009265 MI Primary

Addresses

Primary practice location

1519 E River Rd Ste B
Muskegon, MI 49445-8591

Mailing address

1519 E River Rd Ste B
Muskegon, MI 49445-8591
Phone (231) 744-6400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160415001883 MI Practitioner - Chiropractic 2961700422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1519 E River Rd
Suite B
Muskegon, MI 49445-8591
Phone (231) 744-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
O'Brien Family Chiropractic Center LLC Chiropractor CurrentSince Mar 1, 2016 Accepting new patients

Locations

1519 E River Rd
Ste B
Muskegon, MI 49445
Phone (231) 744-6400

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1912368051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 E RIVER RD STE B",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494458591",
            "telephone_number": "231-744-6400",
            "fax_number": "231-744-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 E RIVER RD STE B",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494458591",
            "telephone_number": "231-744-6400",
            "fax_number": "231-744-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MICHELE",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.