Organization Active NPI

Casselman Chiropractic PC

Doing business as Harbor Family Chiropractic Center

  • Chiropractor
  • Keego Harbor, MI
National Provider Identifier
1083277164
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CASSELMAN CHIROPRACTIC PC
Doing business as
Harbor Family Chiropractic Center
Practice address
2141 Cass Lake Rd Ste 101102
Keego Harbor, MI 48320-1270
Phone
(248) 681-3090
Fax
(248) 681-3891
NPI assigned
Apr 15, 2019
Last updated
Apr 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Dr. Daniel Jeffrey Casselman, DCNPI 1205218583
Title
Doctor of Chiropractic
Phone
(248) 681-3090

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

2141 Cass Lake Rd Ste 101102
Keego Harbor, MI 48320-1270

Mailing address

2141 Cass Lake Rd Ste 101102
Keego Harbor, MI 48320-1270
Phone (248) 681-3090

Other identifiers 1

IdentifierTypeStateIssuer
1205218583OtherMINATIONAL PROVIDER NUMBER

Other names 1

  • Harbor Family Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190425001682 MI Part B Supplier - Clinic/Group Practice 6204178155 Receives reassigned benefits from 1 practitioner
Practice locations: Keego Harbor, MI

National Provider Directory

National Provider Directory

Locations

2141 Cass Lake Rd
Ste 101
Keego Harbor, MI 48320
Phone (248) 681-3090

2141 Cass Lake Rd
Ste 101102
Keego Harbor, MI 48320
Phone (248) 681-3090

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1083277164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 CASS LAKE RD STE 101102",
            "city": "KEEGO HARBOR",
            "state": "MI",
            "postal_code": "483201270",
            "telephone_number": "248-681-3090",
            "fax_number": "248-681-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 CASS LAKE RD STE 101102",
            "city": "KEEGO HARBOR",
            "state": "MI",
            "postal_code": "483201270",
            "telephone_number": "248-681-3090",
            "fax_number": "248-681-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSELMAN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "CASSELMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "248-681-3090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER NUMBER",
            "identifier": "1205218583",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Family Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keego Harbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.