Active NPI
Chad Donald McKernan, D.C.
- Chiropractor
- Shelby TWP, MI
National Provider Identifier
1962622175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301008433
- Practice address
- 50544 Schoenherr Rd
Shelby TWP, MI 48315-3134 - Phone
- (586) 532-1448
- Fax
- (586) 532-1472
- NPI assigned
- Apr 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301008433 | MI | Primary |
Addresses
Primary practice location
50544 Schoenherr Rd
Shelby TWP, MI 48315-3134
Mailing address
50544 Schoenherr Rd
Shelby TWP, MI 48315-3134
Phone (586) 532-1448
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2154482 | Other | MI | FIRST HEALTH |
| CM008433 | Other | MI | COMMERCIAL |
| P31349F | Other | MI | BLUE CARE NETWORK |
| 16350 | Other | MI | M CARE |
| 4685500 | Medicaid | MI | |
| 950E05407 | Other | MI | BLUE CROSS BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301008433 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKernan Family Chiropractic Center, P.C. | Chiropractor | Past | Accepting new patients |
| Hofmann Chiropractic Clinic, P.C. | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Shelby TWP, MI
- NPI 1003073503
-
- Chiropractor
- Allen Park, MI
- NPI 1598801029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1962622175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50544 SCHOENHERR RD",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483153134",
"telephone_number": "586-532-1448",
"fax_number": "586-532-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50544 SCHOENHERR RD",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483153134",
"telephone_number": "586-532-1448",
"fax_number": "586-532-1472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKERNAN",
"first_name": "CHAD",
"middle_name": "DONALD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-27",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301008433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2154482",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "CM008433",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "P31349F",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M CARE",
"identifier": "16350",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4685500",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "950E05407",
"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 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.