NPIMap

Organization Active NPI

Poole Chiropractic Inc PC

  • Chiropractor
  • Mt Pleasant, MI
National Provider Identifier
1083826119
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004206 Issued in MI
Legal business name
POOLE CHIROPRACTIC INC PC
Practice address
2705 S Isabella Rd
Suite B
Mt Pleasant, MI 48858-2067
Phone
(989) 773-1816
NPI assigned
May 3, 2007
Last updated
Mar 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Dr. Cindy Lu Poole, D.C.NPI 1285639187
Title
Owner
Phone
(989) 773-1816

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301004206 MI Primary

Addresses

Primary practice location

2705 S Isabella Rd
Suite B
Mt Pleasant, MI 48858-2067

Mailing address

2705 S Isabella Rd
Suite B
Mt Pleasant, MI 48858-2067
Phone (989) 773-1816

Other identifiers 1

IdentifierTypeStateIssuer
C75006001OtherMIMEDICARE PROVIDER #

National Provider Directory

National Provider Directory

Locations

2705 S Isabella Rd
Mt Pleasant, MI 48858
Phone (989) 773-1816

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1083826119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 S ISABELLA RD",
            "address_2": "SUITE B",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582067",
            "telephone_number": "989-773-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 S ISABELLA RD",
            "address_2": "SUITE B",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582067",
            "telephone_number": "989-773-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOLE CHIROPRACTIC INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "LU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-773-1816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "C75006001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.