Portage Chiropractic and Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009901 Issued in MI

Legal business name

PORTAGE CHIROPRACTIC AND WELLNESS CENTER

Practice address

609 E. Centre
Portage, MI 49002

Phone

(269) 329-1660

NPI assigned

Dec 4, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sarah Beth Kirn, DC

Title

Doctor of Chiropractic

Phone

(248) 790-9296

Specialties & licenses 1

Addresses

Other names 1

• Smith Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Beth Kirn-Gabrielse, D.C.

  • Chiropractor
  • Portage, MI
  • NPI 1134491780
  Medicare reassignment NPD
• John D Smith, DC

  • Chiropractor
  • Portage, MI
  • NPI 1215977566
  NPD (past)

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1134634934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7827 OAKLAND DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "49024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E. CENTRE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "49002",
            "telephone_number": "269-329-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGE CHIROPRACTIC AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "KIRN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "248-790-9296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Plastic Surgery of Kalamazoo,PC
• Erica Pollaccia, DMD
• Hannah Polomcak
• Regan Poppert
• Portage Audiology Consultants, LLC
• Portage Counseling and Coaching
• Portage Family Dentistry PLLC
• Portage Family Healing LLC
• Portage Family Vision Care, PC
• Portage Family Vision Care, PC

• Chiropractor in Portage, MI
• Providers in Portage, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.