Chiropractic Care Center Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007531 Issued in MI

Legal business name

CHIROPRACTIC CARE CENTER INC.

Practice address

1881 N Pontiac TRL
Suite B
Walled Lake, MI 48390-3101

Phone

(248) 926-0455

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Tom Sladic, DCNPI 1447277884

Title

President

Phone

(248) 926-0455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Tom Sladic, DC

  • Chiropractor
  • Walled Lake, MI
  • NPI 1447277884
  Medicare reassignment NPD Authorized official
• Larissa Alexandra McMahon, D.C.

  • Chiropractor
  • Commerce Township, MI
  • NPI 1295843571
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1053455618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 N PONTIAC TRL",
            "address_2": "SUITE B",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903101",
            "telephone_number": "248-926-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 N PONTIAC TRL",
            "address_2": "SUITE B",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903101",
            "telephone_number": "248-926-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "SLADIC",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-926-0455",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrie Kon Cape, LMSW
• Diana Jolynn Carlson, D.O.
• Tia Fianna Carter, LLC
• Timothy J Carter, D.C.
• George Georges Chabiaa, D.D.S.,
• City of Walled Lake (Walled Lake Fire Department)
• Clarity Advanced Eyecare, PLLC (Oakland Vision Services)
• Clarity Oakland WL, PLLC (Oakland Vision)
• Michelle Therese Cody, OTL
• Audra Collins

• Chiropractor in Walled Lake, MI
• Providers in Walled Lake, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.