NPIMap

Organization Active NPI

Maximum Performance Chiropractic PC

  • Chiropractor
  • Sturgis, MI
National Provider Identifier
1205238334
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010213 Issued in MI
Legal business name
MAXIMUM PERFORMANCE CHIROPRACTIC PC
Practice address
208 W Chicago Rd
Suite 9B
Sturgis, MI 49091-1779
Phone
(269) 651-6527
NPI assigned
Sep 19, 2014
Last updated
Oct 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Authorized official

Name
Spencer Neil Wickey, DCNPI 1104226455
Title
President/Chiropractor
Phone
(269) 651-6527

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301010213 MI Primary

Addresses

Primary practice location

208 W Chicago Rd
Suite 9B
Sturgis, MI 49091-1779

Mailing address

208 W Chicago Rd
Suite 9B
Sturgis, MI 49091-1779
Phone (269) 651-6527

National Provider Directory

National Provider Directory

Locations

208 W Chicago Rd
Ste 9B
Sturgis, MI 49091
Phone (269) 651-6527

Practitioners & affiliated clinicians

Practitioners 1

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": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1205238334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W CHICAGO RD",
            "address_2": "SUITE 9B",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911779",
            "telephone_number": "269-651-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W CHICAGO RD",
            "address_2": "SUITE 9B",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911779",
            "telephone_number": "269-651-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM PERFORMANCE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "WICKEY",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "269-651-6527",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgis, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.