Organization Active NPI

Purdy Chiropractic North PLLC

  • Chiropractor
  • Washington, MI
National Provider Identifier
1164177648
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PURDY CHIROPRACTIC NORTH PLLC
Practice address
64401 Van Dyke Road
Washington, MI 48095
Phone
(586) 752-7205
Fax
(586) 281-6912
NPI assigned
Feb 14, 2022
Last updated
Feb 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
William Anthony Purdy II, D.C.NPI 1730138686
Title
Owner
Phone
(586) 752-7205

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 Primary

Addresses

Primary practice location

64401 Van Dyke Road
Washington, MI 48095

Mailing address

64401 Van Dyke Avenue
Washington, MI 48095-2586
Phone (586) 752-7205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220225000621 MI Part B Supplier - Clinic/Group Practice 7012301666 Receives reassigned benefits from 4 practitioners
Practice locations: Washington, MI

National Provider Directory

National Provider Directory

Locations

64401 Van Dyke Rd
Washington, MI 48095
Phone (586) 752-7205

Practitioners & affiliated clinicians

Practitioners 4

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": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1164177648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64401 VAN DYKE AVENUE",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480952586",
            "telephone_number": "586-752-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64401 VAN DYKE ROAD",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "48095",
            "telephone_number": "586-752-7205",
            "fax_number": "586-281-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURDY CHIROPRACTIC NORTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "PURDY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-752-7205",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.