Individual provider Active NPI

Aaron Jeffrey Pan, DC

  • Chiropractor
  • Garden City, MI
National Provider Identifier
1982274809
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301011118 Issued in MI
Practice address
30900 Ford Rd Ste C
Garden City, MI 48135-1892
Phone
(734) 838-0353
Fax
(734) 838-0359
NPI assigned
Jul 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301011118 MI Primary

Addresses

Primary practice location

30900 Ford Rd Ste C
Garden City, MI 48135-1892

Mailing address

350 Billingsgate CT Apt B
Bloomfield Hills, MI 48301-1605
Phone (248) 514-7778

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210915001164 MI Practitioner - Chiropractic 4486050549 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301011118MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Chiropractic Specialists, P.C. Chiropractor CurrentSince Sep 1, 2021 Accepting new patients
Michigan Chiropractic Specialists of West Bloomfield, P.C. Chiropractor CurrentSince Sep 1, 2021 Accepting new patients
Michigan Chiropractic Specialists of Waterford, P.C. Chiropractor PastSince Jul 4, 2021 Accepting new patients

Locations

30900 Ford Rd
Ste C
Garden City, MI 48135
Phone (734) 838-0353

Organizations & group practices 3

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": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1982274809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BILLINGSGATE CT APT B",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011605",
            "telephone_number": "248-514-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30900 FORD RD STE C",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351892",
            "telephone_number": "734-838-0353",
            "fax_number": "734-838-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "AARON",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301011118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.