Individual provider Active NPI

Gautier Andre Lalin, D.C.

  • Chiropractor
  • Monroe, MI
National Provider Identifier
1982934741
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010347 Issued in MI
Practice address
11 E Front St
Monroe, MI 48161-2228
Phone
(734) 241-4070
Fax
(734) 241-0159
NPI assigned
Dec 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010347 MI Primary

Addresses

Primary practice location

11 E Front St
Monroe, MI 48161-2228

Mailing address

11 E Front St
Monroe, MI 48161-2228
Phone (734) 241-4070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160311001529 MI Practitioner - Chiropractic 5698071942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 E Front St
Stevens Family Chiropractic
Monroe, MI 48161-2228
Phone (734) 241-4070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010347MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lalin, PLLC Chiropractor CurrentSince Oct 24, 2016 Accepting new patients

Locations

11 E Front St
Monroe, MI 48161
Phone (734) 241-4070

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": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1982934741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E FRONT ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481612228",
            "telephone_number": "734-241-4070",
            "fax_number": "734-241-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E FRONT ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481612228",
            "telephone_number": "734-241-4070",
            "fax_number": "734-241-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALIN",
        "first_name": "GAUTIER",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-30",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.