Organization Active NPI

Pierce Chiropractic Wellness Center, PLC

  • Chiropractor
  • Cedar Springs, MI
National Provider Identifier
1023348752
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005317 Issued in MI
Legal business name
PIERCE CHIROPRACTIC WELLNESS CENTER, PLC
Practice address
1394 Dairy LN NE
Cedar Springs, MI 49319-8131
Phone
(616) 696-6144
Fax
(616) 696-6144
NPI assigned
Dec 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Dr. Douglas Earl Pierce, D.C.
Title
President
Phone
(616) 696-6144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301005317 MI Primary

Addresses

Primary practice location

1394 Dairy LN NE
Cedar Springs, MI 49319-8131

Mailing address

1394 Dairy LN NE
Cedar Springs, MI 49319-8131
Phone (616) 696-6144

Other identifiers 3

IdentifierTypeStateIssuer
11285926OtherMICAQH
950D117110OtherMIBCBS
4447007MedicaidMI

Other names 1

  • The Back Doctor Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1023348752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1394 DAIRY LN NE",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493198131",
            "telephone_number": "616-696-6144",
            "fax_number": "616-696-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1394 DAIRY LN NE",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493198131",
            "telephone_number": "616-696-6144",
            "fax_number": "616-696-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE CHIROPRACTIC WELLNESS CENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-696-6144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11285926",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950D117110",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4447007",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Back Doctor",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cedar Springs, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.