Organization Active NPI

Kalkaska Chiropractic Center

  • Chiropractor
  • Kalkaska, MI
National Provider Identifier
1114121001
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
LS002791 Issued in MI
Legal business name
KALKASKA CHIROPRACTIC CENTER
Practice address
224 S Cedar St
Kalkaska, MI 49646
Phone
(231) 258-8678
Fax
(231) 258-2719
NPI assigned
Jun 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
Larry J Schumacher, D.C.
Title
Owner
Phone
(231) 258-8678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X LS002791 MI Primary

Addresses

Primary practice location

224 S Cedar St
Kalkaska, MI 49646

Mailing address

PO Box 166
Kalkaska, MI 49646-0166
Phone (231) 258-8678

Other identifiers 1

IdentifierTypeStateIssuer
4348368MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114121001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 166",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496460166",
            "telephone_number": "231-258-8678",
            "fax_number": "231-258-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S CEDAR ST",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "49646",
            "telephone_number": "231-258-8678",
            "fax_number": "231-258-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALKASKA CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHUMACHER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-258-8678",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "LS002791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4348368",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalkaska, 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.