NPIMap

Organization Active NPI

Chadwell Chiropractic of Midland LLC

  • Chiropractor
  • Midland, MI
National Provider Identifier
1023298965
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007008 Issued in MI
Legal business name
CHADWELL CHIROPRACTIC OF MIDLAND LLC
Practice address
5103 Eastman Ave
Suite 140
Midland, MI 48640-6785
Phone
(989) 832-3066
Fax
(989) 832-3066
NPI assigned
Nov 8, 2007
Last updated
Oct 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Authorized official

Name
Dr. Phillip Lange Chadwell, DCNPI 1982890869
Title
Owner Member
Phone
(989) 832-3066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007008 MI Primary

Addresses

Primary practice location

5103 Eastman Ave
Suite 140
Midland, MI 48640-6785

Mailing address

5103 Eastman Ave
Suite 140
Midland, MI 48640-6785
Phone (989) 832-3066

Other identifiers 3

IdentifierTypeStateIssuer
3083544MedicaidMI
P97364OtherMIBLUE CARE NETWORK
950E61188OtherMIBCBSM

National Provider Directory

National Provider Directory

Locations

5103 Eastman Ave
Ste 140
Midland, MI 48640
Phone (989) 423-1275

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": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1023298965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 EASTMAN AVE",
            "address_2": "SUITE 140",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406785",
            "telephone_number": "989-832-3066",
            "fax_number": "989-832-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 EASTMAN AVE",
            "address_2": "SUITE 140",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406785",
            "telephone_number": "989-832-3066",
            "fax_number": "989-832-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHADWELL CHIROPRACTIC OF MIDLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "CHADWELL",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "LANGE",
        "authorized_official_title_or_position": "OWNER MEMBER",
        "authorized_official_telephone_number": "989-832-3066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3083544",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P97364",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950E61188",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.