Organization Active NPI

Tri County Chiropractic of Michigan Inc.

  • Chiropractor
  • Fenton, MI
National Provider Identifier
1093848061
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005414 Issued in MI
Legal business name
TRI COUNTY CHIROPRACTIC OF MICHIGAN INC.
Practice address
4033 Owen Rd
Fenton, MI 48430-9100
Phone
(810) 750-2600
Fax
(810) 750-6981
NPI assigned
Mar 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott Kenneth Anderson, D.C.NPI 1265500599
Title
Doctor
Phone
(810) 750-2600

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 2301005414 MI Primary

Addresses

Primary practice location

4033 Owen Rd
Fenton, MI 48430-9100

Mailing address

4033 Owen Rd
Fenton, MI 48430-9100
Phone (810) 750-2600

National Provider Directory

National Provider Directory

Locations

4033 Owen Rd
Fenton, MI 48430
Phone (810) 750-2600

Practitioners & affiliated clinicians

Practitioners 1

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093848061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 OWEN RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484309100",
            "telephone_number": "810-750-2600",
            "fax_number": "810-750-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 OWEN RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484309100",
            "telephone_number": "810-750-2600",
            "fax_number": "810-750-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY CHIROPRACTIC OF MICHIGAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "810-750-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.