Organization Active NPI

Two Roads Wellness Center PLLC

  • Chiropractor
  • Brighton, MI
National Provider Identifier
1215304886
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009521 Issued in MI
Legal business name
TWO ROADS WELLNESS CENTER PLLC
Practice address
7743 Grand River Rd Ste 106
Brighton, MI 48114-7393
Phone
(810) 224-1254
NPI assigned
Aug 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
April Hall
Title
Office Manager
Phone
(810) 224-1254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301009521 MI Primary

Addresses

Primary practice location

7743 Grand River Rd Ste 106
Brighton, MI 48114-7393

Mailing address

7743 Grand River Rd Ste 106
Brighton, MI 48114-7393
Phone (810) 224-1254

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150929003133 MI Part B Supplier - Clinic/Group Practice 9436467123 Receives reassigned benefits from 1 practitioner
Practice locations: Brighton, MI

National Provider Directory

National Provider Directory

Locations

8123 Grand River Rd
Ste 1
Brighton, MI 48114
Phone (810) 224-1254

710 E Grand River Ave
Brighton, MI 48116
Phone (810) 224-1254

710 E Grand River Ave
Ste 2
Brighton, MI 48116
Phone (810) 224-1254

7743 Grand River Rd
Ste 10
Brighton, MI 48114
Phone (810) 224-1254

Practitioners & affiliated clinicians

Practitioners 5

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": "1440806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1215304886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7743 GRAND RIVER RD STE 106",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147393",
            "telephone_number": "810-224-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7743 GRAND RIVER RD STE 106",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147393",
            "telephone_number": "810-224-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO ROADS WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-29",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-224-1254"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.