Active NPI
Fantastic Health Chiropractic, PLLC
- Radiology Chiropractor
- Muskegon, MI
National Provider Identifier
1114100690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Chiropractor
- Legal business name
- FANTASTIC HEALTH CHIROPRACTIC, PLLC
- Practice address
- 947 W Broadway Ave
Muskegon, MI 49441-3586 - Phone
- (231) 755-5400
- Fax
- (231) 755-5418
- NPI assigned
- Dec 7, 2007
- 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
- Dr. Tzuchiang Fan, D.C.
- Title
- Chiropractor
- Phone
- (231) 755-5400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Chiropractor | 111NR0200X | MI | Primary |
Addresses
Primary practice location
947 W Broadway Ave
Muskegon, MI 49441-3586
Mailing address
947 W Broadway Ave
Muskegon, MI 49441-3586
Phone (231) 755-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950F11202 | Other | MI | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
947 W Broadway Ave
Muskegon, MI 49441
Phone (231) 755-5400
947 W Broadway Ave
Ste B
Muskegon, MI 49441
Phone (231) 755-5400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1114100690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "947 W BROADWAY AVE",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494413586",
"telephone_number": "231-755-5400",
"fax_number": "231-755-5418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "947 W BROADWAY AVE",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494413586",
"telephone_number": "231-755-5400",
"fax_number": "231-755-5418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FANTASTIC HEALTH CHIROPRACTIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-07",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "FAN",
"authorized_official_first_name": "TZUCHIANG",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "231-755-5400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NR0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Radiology",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "950F11202",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.