Individual provider Active NPI

Susan E Craig, DC

  • Chiropractor
  • Shelby TWP, MI
National Provider Identifier
1912938804
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008300 Issued in MI
Practice address
45941 Hayes Rd
Shelby TWP, MI 48315-6217
Phone
(586) 884-4825
Fax
(586) 488-1084
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008300 MI Primary

Addresses

Primary practice location

45941 Hayes Rd
Shelby TWP, MI 48315-6217

Mailing address

45941 Hayes Rd
Shelby TWP, MI 48315-6217
Phone (586) 884-4825

Other practice location 1

48866 Hayes Rd
Macomb, MI 48044-1954
Phone (586) 566-2273

Other identifiers 1

IdentifierTypeStateIssuer
0E03439OtherMIBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan a. Baetens, D.C., P.C. Chiropractor PastSince Feb 2, 1995 Accepting new patients

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1912938804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45941 HAYES RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483156217",
            "telephone_number": "586-884-4825",
            "fax_number": "586-488-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45941 HAYES RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483156217",
            "telephone_number": "586-884-4825",
            "fax_number": "586-488-1084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48866 Hayes Rd",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "MI",
            "postal_code": "480441954",
            "country_code": "US",
            "telephone_number": "586-566-2273",
            "fax_number": "586-566-2272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0E03439",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.