Bend Chiropractic Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BEND CHIROPRACTIC CLINIC PC

Practice address

37339 Green St
New Baltimore, MI 48047-1664

Phone

(586) 725-1111

Fax

(586) 725-8041

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Richard Louis Bend Sr., D.C.

Title

President

Phone

(586) 725-1111

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1174706758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37339 GREEN ST",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480471664",
            "telephone_number": "586-725-1111",
            "fax_number": "586-725-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37339 GREEN ST",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480471664",
            "telephone_number": "586-725-1111",
            "fax_number": "586-725-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "BEND",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-725-1111",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1404329",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in New Baltimore, MI
• Providers in New Baltimore, MI by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.