NPIMap

Organization Active NPI

Northcare Chiropractic Health Center, PLLC

  • Chiropractor
  • Traverse City, MI
National Provider Identifier
1073512786
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007022 Issued in MI
Legal business name
NORTHCARE CHIROPRACTIC HEALTH CENTER, PLLC
Practice address
2781 Garfield Rd N
Traverse City, MI 49686-5003
Phone
(231) 933-0100
Fax
(231) 946-1951
NPI assigned
Jul 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Authorized official

Name
Dr. Teri Lorencen Stockwell, D.C.
Title
Owner
Phone
(231) 933-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301007022 MI Primary

Addresses

Primary practice location

2781 Garfield Rd N
Traverse City, MI 49686-5003

Mailing address

2781 Garfield Rd N
Traverse City, MI 49686-5003
Phone (231) 933-0100

Other identifiers 3

IdentifierTypeStateIssuer
3144040MedicaidMI
950B810180OtherMIBCBS GROUP PROVIDER ID
G05544OtherMIBCN GROUP #

National Provider Directory

National Provider Directory

Locations

2781 Garfield Rd N
Traverse City, MI 49686
Phone (231) 933-0100

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1073512786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 GARFIELD RD N",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496865003",
            "telephone_number": "231-933-0100",
            "fax_number": "231-946-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 GARFIELD RD N",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496865003",
            "telephone_number": "231-933-0100",
            "fax_number": "231-946-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHCARE CHIROPRACTIC HEALTH CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "STOCKWELL",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "LORENCEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-933-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3144040",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER ID",
            "identifier": "950B810180",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN GROUP #",
            "identifier": "G05544",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.