Active NPI
Tri-City Chiropractic Center
Doing business as John Michael Kelly
- Chiropractor
- Saginaw, MI
National Provider Identifier
1053525212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- JK004908
- Legal business name
- TRI-CITY CHIROPRACTIC CENTER
- Doing business as
- John Michael Kelly
- Practice address
- 4266 State St
Saginaw, MI 48603-4028 - Phone
- (989) 792-6702
- NPI assigned
- May 9, 2007
- 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
- John Michael Kelly, D.C.
- Title
- Chiropractor
- Phone
- (989) 792-6702
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | JK004908 | MI | Primary |
Addresses
Primary practice location
4266 State St
Saginaw, MI 48603-4028
Mailing address
4266 State St
Saginaw, MI 48603-4028
Phone (989) 792-6702
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0993966 | Other | MI | HEALTH PLUS |
| 0G31076 | Other | MI | BCN |
| 1535385 | Medicaid | MI | |
| 350005936 | Other | MI | RR MEDICARE |
Other names 1
- John Michael Kelly
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247529600000",
"number": "1053525212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4266 STATE ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486034028",
"telephone_number": "989-792-6702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4266 STATE ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486034028",
"telephone_number": "989-792-6702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-CITY CHIROPRACTIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2009-07-14",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "989-792-6702",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "JK004908",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "0993966",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "0G31076",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1535385",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "350005936",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "John Michael Kelly",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.