Individual provider Active NPI

Maria A Chichester, D.C.

  • Chiropractor
  • Caledonia, MI
National Provider Identifier
1053558031
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009475 Issued in MI
Practice address
9090 S Rodgers CT SE Ste E
Caledonia, MI 49316-8052
Phone
(616) 891-8153
Fax
(616) 891-0060
NPI assigned
Jan 14, 2009
Last updated
Jan 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009475 MI Primary

Addresses

Primary practice location

9090 S Rodgers CT SE Ste E
Caledonia, MI 49316-8052

Mailing address

9090 S Rodgers CT SE Ste E
Caledonia, MI 49316-8052
Phone (616) 891-8153

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090311000511 MI Practitioner - Chiropractic 9032275375 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lowell Family Chiropractic PLLC Chiropractor CurrentSince Apr 1, 2012 Accepting new patients
Seif Chiropractic PC Chiropractor PastSince Aug 11, 2019 Accepting new patients

Locations

1335 W Main St
Ste C
Lowell, MI 49331
Phone (616) 897-8284

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1053558031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 S RODGERS CT SE STE E",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493168052",
            "telephone_number": "616-891-8153",
            "fax_number": "616-891-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 S RODGERS CT SE STE E",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493168052",
            "telephone_number": "616-891-8153",
            "fax_number": "616-891-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICHESTER",
        "first_name": "MARIA",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caledonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.