Amy Kahn Abbott, D.C.

Individual provider Active NPI Chiropractor · Dorr, MI

NPI 1184795403 · NPPES record last updated Feb 15, 2017

Key facts

NPI
1184795403
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
2301009110 (MI)
Practice address
1627 142ND Ave
Dorr, MI 49323-9426
Phone
(616) 359-9077
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2301009110MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Craft Chiropractic Center PC Chiropractor Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009110 MI Yes

Addresses

Primary practice location

1627 142ND Ave
Dorr, MI 49323-9426

Mailing address

1627 142ND Ave
Dorr, MI 49323-9426
Phone (616) 359-9077

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 15, 2017.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1184795403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 142ND AVE",
            "city": "DORR",
            "state": "MI",
            "postal_code": "493239426",
            "telephone_number": "616-359-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 142ND AVE",
            "city": "DORR",
            "state": "MI",
            "postal_code": "493239426",
            "telephone_number": "616-359-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "AMY",
        "middle_name": "KAHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorr, MI

All providers in Dorr, MI · Chiropractor in Michigan

Sources for this page

Verify at the official NPI Registry.