Organization Active NPI

Serenity Family Chiropractic, P.C.

  • Chiropractor
  • White Lake, MI
National Provider Identifier
1063847143
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009114 Issued in MI
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

Updated by the provider on Sep 9, 2013

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.NPI 1265580039
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20140203001340 MI Part B Supplier - Clinic/Group Practice 5890924393 Receives reassigned benefits from 1 practitioner
Practice locations: White Lake, MI

National Provider Directory

National Provider Directory

Locations

10739 Highland Rd
White Lake, MI 48386
Phone (248) 698-9141

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.