Organization Active NPI

Michigan Complete Chiropractic & Rehab., PLC

  • Chiropractor
  • Canton, MI
National Provider Identifier
1154961514
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MICHIGAN COMPLETE CHIROPRACTIC & REHAB., PLC
Practice address
5958 N Canton Center Rd Ste 300
Canton, MI 48187-2766
Phone
(734) 212-5828
Fax
(734) 212-5827
NPI assigned
Jan 13, 2020
Last updated
Jul 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Authorized official

Name
Dr. Jacob Baldwin, DCNPI 1982244349
Title
Owner
Phone
(734) 212-5828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

5958 N Canton Center Rd Ste 300
Canton, MI 48187-2766

Mailing address

5958 N Canton Center Rd Ste 300
Canton, MI 48187-2766
Phone (734) 212-5828

National Provider Directory

National Provider Directory

Locations

5958 N Canton Center Rd
Ste 300
Canton, MI 48187
Phone (734) 212-5828

Practitioners & affiliated clinicians

Practitioners 1

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": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1154961514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5958 N CANTON CENTER RD STE 300",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872766",
            "telephone_number": "734-212-5828",
            "fax_number": "734-212-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5958 N CANTON CENTER RD STE 300",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872766",
            "telephone_number": "734-212-5828",
            "fax_number": "734-212-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN COMPLETE CHIROPRACTIC & REHAB., PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-212-5828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.