Shiawassee Spinal Center, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009446 Issued in MI

Legal business name

SHIAWASSEE SPINAL CENTER, PC

Practice address

1424 N M 52
Owosso, MI 48867-1235

Phone

(989) 720-2225

Fax

(989) 720-7274

NPI assigned

Oct 16, 2017

Last updated

Oct 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amanda M Cushman, DCNPI 1710159660

Title

Vice President

Phone

(989) 720-2225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 3

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.

• Amanda Mary Cushman, D.C.

  • Chiropractor
  • Owosso, MI
  • NPI 1710159660
  Medicare reassignment Care Compare group NPD Authorized official
• Kenneth James Cushman, D.C.

  • Chiropractor
  • Owosso, MI
  • NPI 1073785937
  Medicare reassignment Care Compare group NPD
• Richard Brian Szagesh, DC

  • Chiropractor
  • East Lansing, MI
  • NPI 1033179148
  Medicare reassignment NPD

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1033620281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 N M 52",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671235",
            "telephone_number": "989-720-2225",
            "fax_number": "989-720-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 N M 52",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671235",
            "telephone_number": "989-720-2225",
            "fax_number": "989-720-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIAWASSEE SPINAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "CUSHMAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "989-720-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiawassee County Medical Group (After Hours Care)
• Shiawassee Optical Associates
• Shiawassee Pediatrics PC
• Shiawassee Physician Services
• Shiawassee Spinal Center
• Michelle Ann Shields, M.D.
• Cathy Shive
• Makayla Shown
• Krystal Renee Shreve, LMSW
• Lindsay Shue

• Chiropractor in Owosso, MI
• Providers in Owosso, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.