Organization Active NPI

Collier Chiropractic Bay City PLC

  • Chiropractor
  • Bay City, MI
National Provider Identifier
1215441159
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010506 Issued in MI
Legal business name
COLLIER CHIROPRACTIC BAY CITY PLC
Practice address
3916 Traxler CT
Bay City, MI 48706-9612
Phone
(989) 391-4788
NPI assigned
Nov 30, 2017
Last updated
Jun 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Anne M Moceri
Title
Billing Manager
Phone
(586) 596-2370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010506 MI Primary

Addresses

Primary practice location

3916 Traxler CT
Bay City, MI 48706-9612

Mailing address

1945 W Blackmore Rd
Mayville, MI 48744-9784
Phone (586) 596-2370

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171221001619 MI Part B Supplier - Clinic/Group Practice 5395003321 Receives reassigned benefits from 5 practitioners
Practice locations: Bay City, MI

National Provider Directory

National Provider Directory

Locations

3916 Traxler Ct
Bay City, MI 48706
Phone (989) 391-4788

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": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1215441159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 W BLACKMORE RD",
            "city": "MAYVILLE",
            "state": "MI",
            "postal_code": "487449784",
            "telephone_number": "586-596-2370",
            "fax_number": "989-548-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 TRAXLER CT",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069612",
            "telephone_number": "989-391-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER CHIROPRACTIC BAY CITY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "MOCERI",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "586-596-2370"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.