Individual provider Active NPI

Christopher Cody Sirius Calligan, DC

  • Chiropractor
  • Rochester Hills, MI
National Provider Identifier
1083991756
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009886 Issued in MI
Practice address
200 W Avon Rd
Rochester Hills, MI 48307-2702
Phone
(248) 601-9400
NPI assigned
Nov 9, 2011
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009886 MI Primary

Addresses

Primary practice location

200 W Avon Rd
Rochester Hills, MI 48307-2702

Mailing address

6358 Cherry Tree CT
Rochester Hills, MI 48306-3308
Phone (517) 610-2102

Other practice location 1

6358 Cherry Tree Ct
Rochester Hills, MI 48306-3308
Phone (517) 610-2102

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120320001027 MI Practitioner - Chiropractic 7810157336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MK Motion LLCGroup PAC ID 5890166201, 2 clinicians

Practice addresses (Care Compare)

150 S Elizabeth St
Rochester, MI 48307-2094
Phone (517) 610-2102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009886MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeclinic Chiropractic of Michigan PLLC Chiropractor CurrentSince Oct 22, 2014 Accepting new patients
MK Motion LLC Chiropractor CurrentSince Jan 16, 2023 Accepting new patients
Michigan Chiropractic Specialists of Waterford, P.C. Chiropractor Past Accepting new patients

Locations

150 S Elizabeth St
Rochester, MI 48307
Phone (248) 270-5908

200 W Avon Rd
Rochester Hills, MI 48307
Phone (248) 601-9400

2833 Crooks Rd Ste 100
Rochester Hills, MI 48309

33 Hamline Ave S
Saint Paul, MN 55105
Phone (612) 868-6894

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1083991756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6358 CHERRY TREE CT",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483063308",
            "telephone_number": "517-610-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W AVON RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072702",
            "telephone_number": "248-601-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6358 Cherry Tree Ct",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483063308",
            "country_code": "US",
            "telephone_number": "517-610-2102",
            "fax_number": "248-422-0582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLIGAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "CODY SIRIUS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-09",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.