Organization Active NPI

Thatcher Chiropractic PLLC

  • Chiropractor
  • Ann Arbor, MI
National Provider Identifier
1073642617
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
004878 Issued in MI
Legal business name
THATCHER CHIROPRACTIC PLLC
Practice address
1886 W Stadium Blvd
Suite 100
Ann Arbor, MI 48103-7007
Phone
(734) 663-2300
Fax
(734) 663-0010
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Authorized official

Name
Dr. Myron William Thatcher, DCNPI 1518966084
Title
Owner
Phone
(734) 663-2300

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 004878 MI Primary

Addresses

Primary practice location

1886 W Stadium Blvd
Suite 100
Ann Arbor, MI 48103-7007

Mailing address

1886 W Stadium Blvd
Suite 100
Ann Arbor, MI 48103-7007
Phone (734) 663-2300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080521000798 MI Part B Supplier - Clinic/Group Practice 6002985645 Receives reassigned benefits from 1 practitioner
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Locations

1886 W Stadium Blvd
Ste 100
Ann Arbor, MI 48103
Phone (734) 663-2300

1886 W Stadium Blvd
Ann Arbor, MI 48103
Phone (734) 663-2300

Practitioners & affiliated clinicians

Practitioners 1

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": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1073642617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1886 W STADIUM BLVD",
            "address_2": "SUITE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481037007",
            "telephone_number": "734-663-2300",
            "fax_number": "734-663-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1886 W STADIUM BLVD",
            "address_2": "SUITE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481037007",
            "telephone_number": "734-663-2300",
            "fax_number": "734-663-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THATCHER CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "THATCHER",
        "authorized_official_first_name": "MYRON",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-663-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "004878",
            "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 Dec 12, 2019; 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.