Elements Chiropractic Clinic, PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008592 Issued in MI

Legal business name

ELEMENTS CHIROPRACTIC CLINIC, PLC

Practice address

2225 E Centre Ave
Portage, MI 49002-4421

Phone

(269) 381-2200

Fax

(269) 381-4233

NPI assigned

Feb 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Brett Andrew Myers, DCNPI 1558360867

Title

President

Phone

(269) 381-2200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• Brett Andrew Myers, DC

  • Chiropractor
  • Portage, MI
  • NPI 1558360867
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1043532278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E MILHAM AVE",
            "address_2": "SUITE B",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490023096",
            "telephone_number": "269-381-2200",
            "fax_number": "269-381-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 E CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490024421",
            "telephone_number": "269-381-2200",
            "fax_number": "269-381-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTS CHIROPRACTIC CLINIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-15",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-381-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1558360867",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert C Einhardt, LPC
• Bahram Elami, M.D.
• Ahmed Eldib, B.D.S, DDS
• Kaitlyn Eldridge
• Elemental Speech Therapy LLC
• Diaa Aldin H Elfaki, M.D.
• Julie Elias, MD
• Elizabeth Upjohn Community Healing Center
• Elk Kalamazoo, LLC
• Steven S. Ellinger, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.