NPIMap

Organization Active NPI

Cedar Chiropractic, PC

Doing business as Cedar Chiropractic Center

  • Chiropractor
  • Cedar, MI
National Provider Identifier
1184804528
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CEDAR CHIROPRACTIC, PC
Doing business as
Cedar Chiropractic Center
Practice address
9093 S. Kasson Street
Cedar, MI 49621
Phone
(231) 228-5233
Fax
(231) 228-5232
NPI assigned
Nov 13, 2007
Last updated
Nov 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Dr. Neil Bradley Jackson, DCNPI 1558304386
Title
Owner/Doctor
Phone
(231) 228-5233

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

9093 S. Kasson Street
Cedar, MI 49621

Mailing address

PO Box 173
Cedar, MI 49621-0173
Phone (231) 228-5233

Other names 1

  • Cedar Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160204000918 MI Part B Supplier - Clinic/Group Practice 1658675012 Receives reassigned benefits from 2 practitioners
Practice locations: Cedar, MI; Traverse City, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1184804528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "CEDAR",
            "state": "MI",
            "postal_code": "496210173",
            "telephone_number": "231-228-5233",
            "fax_number": "231-228-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9093 S. KASSON STREET",
            "city": "CEDAR",
            "state": "MI",
            "postal_code": "49621",
            "telephone_number": "231-228-5233",
            "fax_number": "231-228-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "231-228-5233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.