Alpine Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

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

Organization subpart

No

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

Authorized official

Name

Dr. Kellie A PurollNPI 1972547917

Title

Owner

Phone

(989) 732-3035

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Kellie A Puroll, DC

  • Chiropractor
  • Gaylord, MI
  • NPI 1972547917

  MI

  Medicare reassignment Care Compare group Authorized official
• Jaclyn Oneill, DC

  • Chiropractor
  • Gaylord, MI
  • NPI 1629626627
  Medicare reassignment Care Compare group NPD
• Renee Vanessa Elias, D.C.

  • Chiropractor
  • Gaylord, MI
  • NPI 1588610547
  NPD (past)
• Bradley D Kiriaka, DC

  • Chiropractor
  • Priest River, ID
  • NPI 1154367506
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3216669",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "OF97605",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alcona Citizens for Health, Inc.
• 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 Family Medicine PLC
• Alpine Orthopedics,PC
• Ambulatory Infusion Care-North Inc

• All providers in Gaylord, MI
• Chiropractor in Michigan

• 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.

Verify at the official NPI Registry.