Organization Active NPI

Michiana Chiropractic Center

  • Chiropractor
  • Mishawaka, IN
National Provider Identifier
1013277896
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08000772A Issued in IN
Legal business name
MICHIANA CHIROPRACTIC CENTER
Practice address
236 W Edison Rd Ste 3
Mishawaka, IN 46545-3184
Phone
(574) 259-3355
Fax
(574) 259-2032
NPI assigned
May 25, 2012
Last updated
May 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Chris William Bryan, DCNPI 1548267792
Title
Owner
Phone
(574) 259-3355

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)CodeLicenseStatePrimary
Chiropractor 111N00000X 08000772A IN Primary

Addresses

Primary practice location

236 W Edison Rd Ste 3
Mishawaka, IN 46545-3184

Mailing address

PO Box 8166
South Bend, IN 46660-8166
Phone (574) 259-3355

National Provider Directory

National Provider Directory
Tax ID family
Bryan Chiropractic Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1013277896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8166",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466608166",
            "telephone_number": "574-259-3355",
            "fax_number": "574-259-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W EDISON RD STE 3",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453184",
            "telephone_number": "574-259-3355",
            "fax_number": "574-259-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIANA CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-259-3355",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000772A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.