Active NPI
Wetherbee Chiropractic, P.C.
- Chiropractor
- Brighton, MI
National Provider Identifier
1104886738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301007958
- Legal business name
- WETHERBEE CHIROPRACTIC, P.C.
- Practice address
- 8619 W Grand River Ave
Suite B
Brighton, MI 48116-2384 - Phone
- (810) 225-7350
- NPI assigned
- Mar 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Heidi Lynn Wetherbee
- Title
- Director of Operations
- Phone
- (810) 225-7350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301007958 | MI | Primary |
Addresses
Primary practice location
8619 W Grand River Ave
Suite B
Brighton, MI 48116-2384
Mailing address
8619 W Grand River Ave
Suite B
Brighton, MI 48116-2384
Phone (810) 225-7350
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X6D24 | Other | MI | EMPIRE BCBSM PIN |
| 950D712120 | Other | MI | BCBSM GROUP PIN |
Other names 1
- Advanced Computerized Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8619 W Grand Riv Ave Ste B
Ste B
Brighton, MI 48116
Phone (810) 225-7350
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Brighton, MI
- NPI 1679576425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244592000000",
"number": "1104886738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8619 W GRAND RIVER AVE",
"address_2": "SUITE B",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481162384",
"telephone_number": "810-225-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8619 W GRAND RIVER AVE",
"address_2": "SUITE B",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481162384",
"telephone_number": "810-225-7350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WETHERBEE CHIROPRACTIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-27",
"last_updated": "2009-06-10",
"status": "A",
"authorized_official_last_name": "WETHERBEE",
"authorized_official_first_name": "HEIDI",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "810-225-7350",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "2301007958",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBSM PIN",
"identifier": "X6D24",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM GROUP PIN",
"identifier": "950D712120",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Computerized Chiropractic",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.