Active NPI
Alpine Chiropractic, PC
- Chiropractor
- Gaylord, MI
National Provider Identifier
1073708798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- ALPINE CHIROPRACTIC, PC
- Practice address
- 529 S. Wisconsin Ave
Gaylord, MI 49735 - Phone
- (989) 732-3035
- Fax
- (989) 732-7925
- NPI assigned
- Sep 6, 2007
- Last updated
- Sep 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kellie A Puroll
- Title
- Owner
- Phone
- (989) 732-3035
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
529 S. Wisconsin Ave
Gaylord, MI 49735
Mailing address
529 S. Wisconsin Ave
Gaylord, MI 49735
Phone (989) 732-3035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
529 S Wisconsin Ave
Gaylord, MI 49735
Phone (517) 732-3035
Practitioners & affiliated clinicians
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.
-
- Chiropractor
- Gaylord, MI
- NPI 1972547917
-
- Chiropractor
- Gaylord, MI
- NPI 1629626627
-
- Chiropractor
- Gaylord, MI
- NPI 1588610547
-
- Chiropractor
- Priest River, ID
- NPI 1154367506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189036800000",
"number": "1073708798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 S. WISCONSIN AVE",
"city": "GAYLORD",
"state": "MI",
"postal_code": "49735",
"telephone_number": "989-732-3035",
"fax_number": "989-732-7925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 S. WISCONSIN AVE",
"city": "GAYLORD",
"state": "MI",
"postal_code": "49735",
"telephone_number": "989-732-3035",
"fax_number": "989-732-7925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPINE CHIROPRACTIC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-06",
"last_updated": "2007-09-06",
"status": "A",
"authorized_official_last_name": "PUROLL",
"authorized_official_first_name": "KELLIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "989-732-3035",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaylord, MI
- Alcona Citizens for Health, Inc. (AHC North Ohio Elementary School)
- Wayne C Aldrich, PA-C
- Kristy J. Alexander, NP
- Caleb Robert Alley, DO
- Alpine Cardiology, PLLC
- Alpine Dental Group, Inc.
- Alpine Eye Care, PC (Alpine Eye Care)
- Alpine Family Medicine PLC
- Alpine Orthopedics,PC
- Ambulatory Infusion Care-North Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.