Individual provider Active NPI

Timothy Dehr, D.C.

  • Chiropractor
  • Ann Arbor, MI
National Provider Identifier
1922243781
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009501 Issued in MI
Practice address
2330 E Stadium Blvd
#3
Ann Arbor, MI 48104-4820
Phone
(734) 929-4523
Fax
(734) 929-4538
NPI assigned
Dec 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009501 MI Primary

Addresses

Primary practice location

2330 E Stadium Blvd
#3
Ann Arbor, MI 48104-4820

Mailing address

2330 E Stadium Blvd
#3
Ann Arbor, MI 48104-4820
Phone (734) 929-4523

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090225000021 MI Practitioner - Chiropractic 7416012596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2330 E Stadium Blvd
Suite 3
Ann Arbor, MI 48104-4820
Phone (734) 929-4523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Health Chiropractic PLC Chiropractor CurrentSince Apr 15, 2011 Accepting new patients

Locations

2330 E Stadium Blvd
Ste 3
Ann Arbor, MI 48104
Phone (734) 330-7787

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": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1922243781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 E STADIUM BLVD",
            "address_2": "#3",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044820",
            "telephone_number": "734-929-4523",
            "fax_number": "734-929-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 E STADIUM BLVD",
            "address_2": "#3",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044820",
            "telephone_number": "734-929-4523",
            "fax_number": "734-929-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHR",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-09",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.