Active NPI
Pierce Chiropractic Wellness Center, PLC
- Chiropractor
- Cedar Springs, MI
National Provider Identifier
1023348752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301005317
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11285926 | Other | MI | CAQH |
| 950D117110 | Other | MI | BCBS |
| 4447007 | Medicaid | MI |
Other names 1
- The Back Doctor
National Provider Directory
National Provider DirectoryNPI 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.