Individual provider Active NPI

Adam Wells Willemin, D.C.

  • Chiropractor
  • Rochester, MI
National Provider Identifier
1194058636
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009788 Issued in MI
Practice address
530 Pine St Ste 2
Rochester, MI 48307-1482
Phone
(248) 601-6100
Fax
(248) 601-9574
NPI assigned
Sep 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009788 MI Primary

Addresses

Primary practice location

530 Pine St Ste 2
Rochester, MI 48307-1482

Mailing address

530 Pine St Ste 2
Rochester, MI 48307-1482
Phone (248) 601-6100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110919000366 MI Practitioner - Chiropractic 6608047931 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

50258 Van Dyke Ave
Suite a
Shelby TWP, MI 48317-1374
Phone (586) 731-7730

530 Pine St
Suite 3
Rochester, MI 48307-1482
Phone (248) 601-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009788MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Align Chiropractic Clinic Chiropractor CurrentSince Jul 14, 2015 Accepting new patients
Purdy Chiropractic of Shelby PLLC Chiropractor CurrentSince Aug 20, 2025 Accepting new patients
William F Goss DC III PLLC Chiropractor Past Accepting new patients
William F Goss DC I PLLC Chiropractor PastSince Jul 20, 2016 Accepting new patients

Locations

427 6th St
Rochester, MI 48307
Phone (248) 601-6100

530 Pine St
Ste 3
Rochester, MI 48307
Phone (248) 601-6100

530 Pine St
Ste 2
Rochester, MI 48307
Phone (248) 650-1998

626 N Main St
Rochester, MI 48307
Phone (248) 601-6100

50258 Van Dyke Ave
Ste A
Shelby Township, MI 48317
Phone (586) 731-7730

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1194058636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 PINE ST STE 2",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071482",
            "telephone_number": "248-601-6100",
            "fax_number": "248-601-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 PINE ST STE 2",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071482",
            "telephone_number": "248-601-6100",
            "fax_number": "248-601-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEMIN",
        "first_name": "ADAM",
        "middle_name": "WELLS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.