Organization Active NPI

Redington Chiropractic PC

  • Chiropractor
  • Niles, MI
National Provider Identifier
1023197761
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007950 Issued in MI
Legal business name
REDINGTON CHIROPRACTIC PC
Doing business as
Complete Chiropractic
Practice address
2224 Niles Buchanan Rd
Niles, MI 49120-8923
Phone
(268) 683-0808
Fax
(268) 683-6181
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Authorized official

Name
Dr. Lloyd M Redington Jr., DCNPI 1588675441
Title
Chiropractor
Phone
(269) 683-0808

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301007950 MI Primary

Addresses

Primary practice location

2224 Niles Buchanan Rd
Niles, MI 49120-8923

Mailing address

PO Box 758
Niles, MI 49120-0758
Phone (269) 683-0808

Other names 1

  • Complete Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070209000057 MI Part B Supplier - Clinic/Group Practice 5799787495 Receives reassigned benefits from 1 practitioner
Practice locations: Niles, MI

National Provider Directory

National Provider Directory

Locations

2301 Niles Buchanan Rd
Niles, MI 49120
Phone (269) 683-0808

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1023197761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491200758",
            "telephone_number": "269-683-0808",
            "fax_number": "268-683-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 NILES BUCHANAN RD",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491208923",
            "telephone_number": "268-683-0808",
            "fax_number": "268-683-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDINGTON CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "REDINGTON",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "269-683-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Complete Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.