Organization Active NPI

Tribe Chiropractic PLLC

  • Chiropractor
  • Tecumseh, MI
National Provider Identifier
1134988652
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TRIBE CHIROPRACTIC PLLC
Practice address
120 N Evans Street
Tecumseh, MI 49286-1555
Phone
(517) 815-1555
Fax
(517) 815-1553
NPI assigned
Mar 18, 2024
Last updated
Sep 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Mr. Devan Marry, D.C.NPI 1881268332
Title
Co-Owner
Phone
(517) 815-1555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

120 N Evans Street
Tecumseh, MI 49286-1555

Mailing address

120 N Evans Street
Tecumseh, MI 49286-1555
Phone (517) 815-1555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250709002972 MI Part B Supplier - Clinic/Group Practice 0941714141 Receives reassigned benefits from 2 practitioners
Practice locations: Tecumseh, MI

National Provider Directory

National Provider Directory

Locations

120 N Evans St
Tecumseh, MI 49286
Phone (517) 423-9290

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1134988652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N EVANS STREET",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492861555",
            "telephone_number": "517-815-1555",
            "fax_number": "517-815-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N EVANS STREET",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492861555",
            "telephone_number": "517-815-1555",
            "fax_number": "517-815-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-09-19",
        "certification_date": "2024-03-17",
        "status": "A",
        "authorized_official_last_name": "MARRY",
        "authorized_official_first_name": "DEVAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "517-815-1555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tecumseh, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.