Organization Active NPI

Central Michigan Family Chiropractic Clinic PLC

  • Chiropractor
  • Mt Pleasant, MI
National Provider Identifier
1154435972
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008503 Issued in MI
Legal business name
CENTRAL MICHIGAN FAMILY CHIROPRACTIC CLINIC PLC
Practice address
1112 E Broomfield St
Mt Pleasant, MI 48858
Phone
(989) 779-2225
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Dr. Troy HenrieNPI 1912933821
Title
D.C.
Phone
(989) 779-2225

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301008503 MI Primary

Addresses

Primary practice location

1112 E Broomfield St
Mt Pleasant, MI 48858

Mailing address

1112 E Broomfield St
Mt Pleasant, MI 48858-4437

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031209000359 MI Part B Supplier - Clinic/Group Practice 3072419316 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Pleasant, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1154435972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 E BROOMFIELD ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488584437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 E BROOMFIELD ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-779-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MICHIGAN FAMILY CHIROPRACTIC CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "HENRIE",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "D.C.",
        "authorized_official_telephone_number": "989-779-2225",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.