Active NPI
Craft Chiropractic Center PC
- Chiropractor
- Marshall, MI
National Provider Identifier
1164577607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- CRAFT CHIROPRACTIC CENTER PC
- Practice address
- 125 Redfield PLZ
Marshall, MI 49068-1466 - Phone
- (269) 781-7549
- Fax
- (269) 781-4579
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis R Craft, DC
- Title
- Owner
- Phone
- (269) 781-7549
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
125 Redfield PLZ
Marshall, MI 49068-1466
Mailing address
PO Box 735
Marshall, MI 49068-0735
Phone (269) 781-7549
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950A311360 | Other | MI | BCBSMI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040528000845 | MI | Part B Supplier - Clinic/Group Practice | 3274514799 |
Receives reassigned benefits from 5 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Charlotte, MI; Grand Ledge, MI; Marshall, MI; Middleville, MI |
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Craft Chiropractic Center PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Middleville, MI
- NPI 1235688383
-
- Chiropractor
- Charlotte, MI
- NPI 1700849379
Locations
125 Redfield Plz
Marshall, MI 49068
Phone (269) 781-7549
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Charlotte, MI
- NPI 1174586259
-
- Chiropractor
- Charlotte, MI
- NPI 1629210786
-
- Chiropractor
- Marshall, MI
- NPI 1801168083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483401600000",
"number": "1164577607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735",
"city": "MARSHALL",
"state": "MI",
"postal_code": "490680735",
"telephone_number": "269-781-7549",
"fax_number": "269-781-4579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 REDFIELD PLZ",
"city": "MARSHALL",
"state": "MI",
"postal_code": "490681466",
"telephone_number": "269-781-7549",
"fax_number": "269-781-4579"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRAFT CHIROPRACTIC CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2017-01-03",
"status": "A",
"authorized_official_last_name": "CRAFT",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "269-781-7549",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMI",
"identifier": "950A311360",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marshall, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.