Active NPI
Craft Chiropractic Center PC
- Chiropractor
- Portland, MI
National Provider Identifier
1164577698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- CRAFT CHIROPRACTIC CENTER PC
- Practice address
- 9751 E Grand River Ave
Portland, MI 48875-9774 - Phone
- (517) 647-5770
- Fax
- (517) 647-5773
- 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
- (517) 647-5770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
9751 E Grand River Ave
Portland, MI 48875-9774
Mailing address
PO Box 367
Portland, MI 48875-0367
Phone (517) 647-5770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950C410120 | 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 DirectoryNPI 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": "1482969600000",
"number": "1164577698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 367",
"city": "PORTLAND",
"state": "MI",
"postal_code": "488750367",
"telephone_number": "517-647-5770",
"fax_number": "517-647-5773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9751 E GRAND RIVER AVE",
"city": "PORTLAND",
"state": "MI",
"postal_code": "488759774",
"telephone_number": "517-647-5770",
"fax_number": "517-647-5773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRAFT CHIROPRACTIC CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2016-12-29",
"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": "517-647-5770",
"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": "950C410120",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.