Organization Active NPI

Copper Country Chiropractic, PLLC

  • Chiropractor
  • Houghton, MI
National Provider Identifier
1215090584
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009111 Issued in MI
Legal business name
COPPER COUNTRY CHIROPRACTIC, PLLC
Practice address
903 Razorback Dr
Suite 2
Houghton, MI 49931-2825
Phone
(906) 483-2255
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ted Loren Bier, D.C.NPI 1700985934
Title
Chiropractor
Phone
(906) 483-2250

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301009111 MI Primary

Addresses

Primary practice location

903 Razorback Dr
Suite 2
Houghton, MI 49931-2825

Mailing address

503 W Edwards Ave
Houghton, MI 49931-2332

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070122000266 MI Part B Supplier - Clinic/Group Practice 7315948189 Receives reassigned benefits from 1 practitioner
Practice locations: Houghton, MI

National Provider Directory

National Provider Directory

Locations

903 Razorback Dr
Ste 2
Houghton, MI 49931
Phone (906) 483-2255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215090584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 W EDWARDS AVE",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499312332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 RAZORBACK DR",
            "address_2": "SUITE 2",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499312825",
            "telephone_number": "906-483-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER COUNTRY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIER",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "LOREN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "906-483-2250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houghton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.