Active NPI
Michael Scott Fisher, D.C.
- Chiropractor
- Rapids City, IL
National Provider Identifier
1962763128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038012280
- Practice address
- 403 17TH St
Rapids City, IL 61278 - Phone
- (309) 496-2332
- NPI assigned
- Jun 5, 2012
- 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 | 038012280 | IL | Primary |
Addresses
Primary practice location
403 17TH St
Rapids City, IL 61278
Mailing address
22220 66TH Ave N
Port Byron, IL 61275-9438
Phone (309) 781-0814
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 |
|---|---|---|---|
| 038012280 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404864000000",
"number": "1962763128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22220 66TH AVE N",
"city": "PORT BYRON",
"state": "IL",
"postal_code": "612759438",
"telephone_number": "309-781-0814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 17TH ST",
"city": "RAPIDS CITY",
"state": "IL",
"postal_code": "61278",
"telephone_number": "309-496-2332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "MICHAEL",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-05",
"last_updated": "2014-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038012280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rapids City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.