SHINING LIGHT OSTEOPATHIC CARE PLLC
NPI 1669975678
Clinic/Center - Medical Specialty in Macomb, MI

Active since March 15, 2018
15300 21 MILE RD STE 3, MACOMB, MI 48044(586) 799-7682(586) 799-7827 Get Directions Write a Review

NPPES record last updated: March 15, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Shining Light Osteopathic Care Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHINING LIGHT OSTEOPATHIC CARE PLLC (NPI 1669975678) is a healthcare organization registered as a medical specialty in Macomb, Michigan and active in the NPI registry since March 2018. The organization lists Lori Ann Dillard, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1669975678
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSHINING LIGHT OSTEOPATHIC CARE PLLC
Location Address15300 21 MILE RD STE 3Macomb, MI 48044-5024
Mailing Address15300 21 Mile Rd Ste 3Macomb, MI 48044-5024 · (586) 799-7682 · Fax (586) 799-7827
Fax(586) 799-7827
Organization SubpartNo
Authorized OfficialLori Ann DillardOwner/physician · (586) 799-7682
Enumeration DateMarch 15, 2018
✔ NPI 1669975678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in MI · 5101014290
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
15300 21 MILE RD STE 3, Macomb, MI 48044

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shining Light Osteopathic Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shining Light Osteopathic Care PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Osteopathic Manipulative Medicine
NPI 1609825645
15300 21 MILE RD STE 3
Macomb, MI 48044
(586) 799-7682
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shining Light Osteopathic Care PLLC's NPI number?

The NPI number for Shining Light Osteopathic Care PLLC is 1669975678. It was assigned to this organization in the NPPES registry on March 15, 2018.

Where is Shining Light Osteopathic Care PLLC located?

Shining Light Osteopathic Care PLLC is located at 15300 21 Mile Rd Ste 3, Macomb, MI 48044. The listed phone number is (586) 799-7682.

What is Shining Light Osteopathic Care PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Shining Light Osteopathic Care PLLC enrolled in Medicare?

Yes. Shining Light Osteopathic Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shining Light Osteopathic Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Osteopathic Manipulative Medicine) reassigns their Medicare billing to Shining Light Osteopathic Care PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shining Light Osteopathic Care PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Shining Light Osteopathic Care PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shining Light Osteopathic Care PLLC was last updated on March 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.