Rose City Chiropractic Clinic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301006841 Issued in MI

Legal business name

ROSE CITY CHIROPRACTIC CLINIC, P.C.

Practice address

3292 North M33
Rose City, MI 48654-0027

Phone

(989) 685-2631

Fax

(989) 685-3839

NPI assigned

Feb 15, 2007

Last updated

May 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kendall Ray Paulson, D.C.NPI 1174515639

Title

President

Phone

(989) 685-2631

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kendall Ray Paulson, D.C.

  • Chiropractor
  • Rose City, MI
  • NPI 1174515639
  Medicare reassignment Care Compare group NPD Authorized official
• Alexis Marie Wangler, D.C.

  • Chiropractor
  • Rose City, MI
  • NPI 1821374646
  Medicare reassignment Care Compare group
• Ronda Childress, LMT

  • Massage Therapist
  • Rose City, MI
  • NPI 1558203307
  NPD (past)
• Jessica McCollum, LMT

  • Massage Therapist
  • Rose City, MI
  • NPI 1003604083
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1073656112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3292 NORTH M33",
            "address_2": "P O BOX 27",
            "city": "ROSE CITY",
            "state": "MI",
            "postal_code": "486540027",
            "telephone_number": "989-685-2631",
            "fax_number": "989-685-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3292 NORTH M33",
            "city": "ROSE CITY",
            "state": "MI",
            "postal_code": "486540027",
            "telephone_number": "989-685-2631",
            "fax_number": "989-685-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CITY CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-685-2631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "950F550270",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McLaren Primary Care
• Chris N Mehney-Egan
• Kendall Ray Paulson, D.C.
• Carter W Rae, DDS
• RJ Miriani DDS PC
• Rose City Dental PLC
• Rose City Geriatric Village, Inc (bortz health care of rose city)
• Rose City Opco, LLC (The Villa at Rose City)
• Schaefer Health Enterprises Inc. (Rose City Drugs)
• Unity Physical Therapy and Rehabilitation Center LLC

• Chiropractor in Rose City, MI
• Providers in Rose City, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.