Organization Active NPI

Ogemaw Chiropractic Clinic

  • Chiropractor
  • West Branch, MI
National Provider Identifier
1144709098
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009642 Issued in MI
Legal business name
OGEMAW CHIROPRACTIC CLINIC
Practice address
2333 S M 76
West Branch, MI 48661
Phone
(989) 345-0010
Fax
(989) 345-0014
NPI assigned
Aug 11, 2018
Organization subpart
Yes
Parent organization
OGEMAW CHIROPRACTIC CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Dr. Stephanie Marie Witte-Mason, DC
Title
Owner/Doctor of Chiropractic
Phone
(989) 345-0010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301009642 MI Primary

Addresses

Primary practice location

2333 S M 76
West Branch, MI 48661

Mailing address

2333 S M 76
West Branch, MI 48661-9380
Phone (989) 345-0010

Other names 1

  • Stephanie Witte-Mason DC Doing business as

National Provider Directory

National Provider Directory
Part of
Ogemaw Chiropractic Clinic

Locations

2333 S M 76
West Branch, MI 48661
Phone (989) 345-0010

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1533945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1144709098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 S M 76",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619380",
            "telephone_number": "989-345-0010",
            "fax_number": "989-345-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 S M 76",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "48661",
            "telephone_number": "989-345-0010",
            "fax_number": "989-345-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGEMAW CHIROPRACTIC CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OGEMAW CHIROPRACTIC CLINIC",
        "enumeration_date": "2018-08-11",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "WITTE-MASON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "989-345-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephanie Witte-Mason DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Branch, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.