Organization Active NPI

Atlantic Sports & Family Wellness Center

  • Chiropractor
  • Ann Arbor, MI
National Provider Identifier
1073044244
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010417 Issued in MI
Legal business name
ATLANTIC SPORTS & FAMILY WELLNESS CENTER
Practice address
905 W Eisenhower Cir
Suite 108
Ann Arbor, MI 48103-6400
Phone
(647) 464-0211
NPI assigned
Mar 21, 2017
Last updated
Mar 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Sean Eastman, D.C.
Title
Owner
Phone
(647) 464-0211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010417 MI Primary

Addresses

Primary practice location

905 W Eisenhower Cir
Suite 108
Ann Arbor, MI 48103-6400

Mailing address

905 W Eisenhower Cir
Suite 108
Ann Arbor, MI 48103-6400
Phone (647) 464-0211

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1073044244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W EISENHOWER CIR",
            "address_2": "SUITE 108",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036400",
            "telephone_number": "647-464-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W EISENHOWER CIR",
            "address_2": "SUITE 108",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036400",
            "telephone_number": "647-464-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC SPORTS & FAMILY WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "EASTMAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "647-464-0211",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.