Active NPI
McKernan Family Chiropractic Center, P.C.
- Chiropractor
- Shelby TWP, MI
National Provider Identifier
1003073503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301008433
- Legal business name
- MCKERNAN FAMILY CHIROPRACTIC CENTER, P.C.
- Practice address
- 51863 Schoenherr Rd
Suite 102
Shelby TWP, MI 48315-2757 - Phone
- (586) 997-4086
- Fax
- (586) 997-6916
- NPI assigned
- May 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chad Donald McKernan, D.C.
- Title
- Doctor
- Phone
- (586) 997-4086
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301008433 | MI | Primary |
Addresses
Primary practice location
51863 Schoenherr Rd
Suite 102
Shelby TWP, MI 48315-2757
Mailing address
51863 Schoenherr Rd
Suite 102
Shelby TWP, MI 48315-2757
Phone (586) 997-4086
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950E05407 | Other | MI | BCBSM |
| 4685500 | Medicaid | MI | |
| CM008433 | Other | MI | COMMERCIAL |
National Provider Directory
National Provider DirectoryLocations
51863 Schoenherr Rd
Ste 102
Shelby Township, MI 48315
Phone (586) 350-6024
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Shelby TWP, MI
- NPI 1962622175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211328000000",
"number": "1003073503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51863 SCHOENHERR RD",
"address_2": "SUITE 102",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483152757",
"telephone_number": "586-997-4086",
"fax_number": "586-997-6916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51863 SCHOENHERR RD",
"address_2": "SUITE 102",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483152757",
"telephone_number": "586-997-4086",
"fax_number": "586-997-6916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCKERNAN FAMILY CHIROPRACTIC CENTER, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-21",
"last_updated": "2008-05-21",
"status": "A",
"authorized_official_last_name": "MCKERNAN",
"authorized_official_first_name": "CHAD",
"authorized_official_middle_name": "DONALD",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "586-997-4086",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "2301008433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "950E05407",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4685500",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "CM008433",
"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 May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.