Active NPI
Kern Chiropractic Center
- Chiropractor
- Marine City, MI
National Provider Identifier
1114917457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- SK005582
- Legal business name
- KERN CHIROPRACTIC CENTER
- Practice address
- 260 S Parker St
Marine City, MI 48039-3502 - Phone
- (810) 765-9700
- Fax
- (810) 765-5825
- NPI assigned
- Oct 27, 2005
- 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. Steven A Kern, D.C.
- Title
- President
- Phone
- (810) 765-9700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | SK005582 | MI | Primary |
Addresses
Primary practice location
260 S Parker St
Marine City, MI 48039-3502
Mailing address
260 S Parker St
Marine City, MI 48039-3502
Phone (810) 765-9700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2722005 | Medicaid | MI | |
| 950G410370 | Other | MI | BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
25319 Van Dyke Ave
Center Line, MI 48015
Phone (586) 758-7027
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Sandusky, MI
- NPI 1962650929
-
- Chiropractor
- Adrian, MI
- NPI 1700915675
-
- Chiropractor
- Harrison Township, MI
- NPI 1679661482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279584000000",
"number": "1114917457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 S PARKER ST",
"city": "MARINE CITY",
"state": "MI",
"postal_code": "480393502",
"telephone_number": "810-765-9700",
"fax_number": "810-765-5825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 S PARKER ST",
"city": "MARINE CITY",
"state": "MI",
"postal_code": "480393502",
"telephone_number": "810-765-9700",
"fax_number": "810-765-5825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KERN CHIROPRACTIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-27",
"last_updated": "2010-07-20",
"status": "A",
"authorized_official_last_name": "KERN",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "810-765-9700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "SK005582",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2722005",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "950G410370",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marine City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.