Organization Active NPI

Explore Chiropractic PLLC

  • Chiropractor
  • Mt Pleasant, MI
National Provider Identifier
1215460852
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010537 Issued in MI
Legal business name
EXPLORE CHIROPRACTIC PLLC
Practice address
913 E Pickard St
Suite N
Mt Pleasant, MI 48858-1095
Phone
(989) 372-0003
Fax
(989) 393-6009
NPI assigned
Apr 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Authorized official

Name
Dr. Landon Revord, DCNPI 1861925406
Title
Owner
Phone
(989) 372-0003

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 2301010537 MI Primary

Addresses

Primary practice location

913 E Pickard St
Suite N
Mt Pleasant, MI 48858-1095

Mailing address

913 E Pickard St
Suite N
Mt Pleasant, MI 48858-1095
Phone (989) 372-0003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170516001792 MI Part B Supplier - Clinic/Group Practice 9335416627 Receives reassigned benefits from 2 practitioners
Practice locations: Mt Pleasant, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1215460852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 E PICKARD ST",
            "address_2": "SUITE N",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488581095",
            "telephone_number": "989-372-0003",
            "fax_number": "989-393-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 E PICKARD ST",
            "address_2": "SUITE N",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488581095",
            "telephone_number": "989-372-0003",
            "fax_number": "989-393-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPLORE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "REVORD",
        "authorized_official_first_name": "LANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-372-0003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.