Active NPI
Serenity Family Chiropractic, P.C.
- Chiropractor
- White Lake, MI
National Provider Identifier
1063847143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301009114
- Legal business name
- SERENITY FAMILY CHIROPRACTIC, P.C.
- Practice address
- 10739 Highland Rd
White Lake, MI 48386-2148 - Phone
- (248) 698-9141
- Fax
- (248) 779-7737
- NPI assigned
- Sep 9, 2013
- 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
- Dr. Nicole Lee Palmer, D.C.
- Title
- Owner / Doctor of Chiropractic
- Phone
- (248) 698-9141
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301009114 | MI | Primary |
Addresses
Primary practice location
10739 Highland Rd
White Lake, MI 48386-2148
Mailing address
10739 Highland Rd
White Lake, MI 48386-2148
Phone (248) 698-9141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10739 Highland Rd
White Lake, MI 48386
Phone (248) 698-9141
Interoperability endpoints
- dr.nicole@hlcc0001.direct.chirotouch.md
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Shelby Township, MI
- NPI 1265580039
-
- Chiropractor
- Brighton, MI
- NPI 1528108164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378684800000",
"number": "1063847143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10739 HIGHLAND RD",
"city": "WHITE LAKE",
"state": "MI",
"postal_code": "483862148",
"telephone_number": "248-698-9141",
"fax_number": "248-779-7737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10739 HIGHLAND RD",
"city": "WHITE LAKE",
"state": "MI",
"postal_code": "483862148",
"telephone_number": "248-698-9141",
"fax_number": "248-779-7737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY FAMILY CHIROPRACTIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-09",
"last_updated": "2013-09-09",
"status": "A",
"authorized_official_last_name": "PALMER",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER / DOCTOR OF CHIROPRACTIC",
"authorized_official_telephone_number": "248-698-9141",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "2301009114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.