Individual provider Active NPI

Linda Mae Atkinson, D.C.

  • Chiropractor
  • Allen Park, MI
National Provider Identifier
1962546168
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004391 Issued in MI
Practice address
4828 Allen Rd
Allen Park, MI 48101-2914
Phone
(313) 330-7100
Fax
(313) 383-0415
NPI assigned
Feb 19, 2007
Last updated
Jun 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301004391 MI Primary

Addresses

Primary practice location

4828 Allen Rd
Allen Park, MI 48101-2914

Mailing address

4828 Allen Rd
Allen Park, MI 48101-2914
Phone (313) 330-7100

Other identifiers 5

IdentifierTypeStateIssuer
142745860OtherMIOMNI HEALTH PLAN
950E019790OtherMIBCBSM
350021698OtherMIMEDICARE UNITED HEALTH CA
P86321OtherMIBLUE CARE NETWORK
2745860MedicaidMI

Medicare participation

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

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, 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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1962546168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012914",
            "telephone_number": "313-330-7100",
            "fax_number": "313-383-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4828 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012914",
            "telephone_number": "313-330-7100",
            "fax_number": "313-383-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "LINDA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMNI HEALTH PLAN",
            "identifier": "142745860",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950E019790",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UNITED HEALTH CA",
            "identifier": "350021698",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P86321",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2745860",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.