Individual provider Active NPI

Brittany Maclennan, D.C.

  • Chiropractor
  • Troy, MI
National Provider Identifier
1104368596
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0007527 Issued in CO
Practice address
4276 Clarke Dr
Troy, MI 48085-4905
Phone
(248) 990-6809
NPI assigned
Nov 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X EL.2786593 CO
Chiropractor 111N00000X CHR.0007527 CO Primary

Addresses

Primary practice location

4276 Clarke Dr
Troy, MI 48085-4905

Mailing address

4276 Clarke Dr
Troy, MI 48085-4905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0007527COMDChiropractor
EL.2786593COMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arvada Sport and Spine Group Chiropractor Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1104368596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4276 CLARKE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4276 CLARKE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854905",
            "telephone_number": "248-990-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLENNAN",
        "first_name": "BRITTANY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CO",
            "license": "EL.2786593",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.