Organization Active NPI

Meade Family Chiropractic Center, PLC

  • Chiropractor
  • East Lansing, MI
National Provider Identifier
1053522334
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005868 Issued in MI
Legal business name
MEADE FAMILY CHIROPRACTIC CENTER, PLC
Practice address
802 W Lake Lansing Rd
East Lansing, MI 48823-1331
Phone
(517) 664-2555
Fax
(517) 664-2596
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Authorized official

Name
Dr. Michelle Ann Double-Meade, D.C.
Title
President
Phone
(517) 664-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301005868 MI Primary

Addresses

Primary practice location

802 W Lake Lansing Rd
East Lansing, MI 48823-1331

Mailing address

802 W Lake Lansing Rd
East Lansing, MI 48823-1331
Phone (517) 664-2555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071031000067 MI Part B Supplier - Clinic/Group Practice 0941397426 Receives reassigned benefits from 1 practitioner
Practice locations: East Lansing, MI

National Provider Directory

National Provider Directory

Locations

2121 Abbott Rd
Ste 3
East Lansing, MI 48823
Phone (517) 351-6000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1053522334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W LAKE LANSING RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231331",
            "telephone_number": "517-664-2555",
            "fax_number": "517-664-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W LAKE LANSING RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231331",
            "telephone_number": "517-664-2555",
            "fax_number": "517-664-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADE FAMILY CHIROPRACTIC CENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "DOUBLE-MEADE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-664-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.