NPIMap

Organization Active NPI

14TH Street Chiropractic, PLLC

Doing business as 14th Street Chiropractic

  • Chiropractor
  • Traverse City, MI
National Provider Identifier
1215369335
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005659 Issued in MI
Legal business name
14TH STREET CHIROPRACTIC, PLLC
Doing business as
14th Street Chiropractic
Practice address
115 E 14TH St.
Traverse City, MI 49684
Phone
(231) 943-1767
NPI assigned
Jul 31, 2013
Last updated
Apr 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Nathan Allan ReedNPI 1861711715
Title
Owner
Phone
(231) 943-1767

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 2301005659 MI Primary

Addresses

Primary practice location

115 E 14TH St.
Traverse City, MI 49684

Mailing address

115 E 14TH St
Traverse City, MI 49684-3220
Phone (231) 943-1767

Other names 1

  • 14th Street Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150623000261 MI Part B Supplier - Clinic/Group Practice 4789995499 Receives reassigned benefits from 4 practitioners
Practice locations: Traverse City, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1215369335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 14TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843220",
            "telephone_number": "231-943-1767",
            "fax_number": "231-943-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 14TH ST.",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49684",
            "telephone_number": "231-943-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "14TH STREET CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-943-1767"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "14th Street Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "14th Street Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.