Organization Active NPI

Wetherbee Chiropractic, P.C.

  • Chiropractor
  • Brighton, MI
National Provider Identifier
1104886738
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007958 Issued in MI
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

Updated by the provider on Jun 10, 2009

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
X6D24OtherMIEMPIRE BCBSM PIN
950D712120OtherMIBCBSM GROUP PIN

Other names 1

  • Advanced Computerized Chiropractic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041228000430 MI Part B Supplier - Clinic/Group Practice 9739147497 Receives reassigned benefits from 1 practitioner
Practice locations: Brighton, MI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.