Organization Active NPI

Family Care Chiropractic

  • Chiropractor
  • Grand Blanc, MI
National Provider Identifier
1235385642
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009399 Issued in MI
Legal business name
FAMILY CARE CHIROPRACTIC
Practice address
8200 S Saginaw St
Suite 600
Grand Blanc, MI 48439-1843
Phone
(810) 603-1497
Fax
(810) 603-1498
NPI assigned
Aug 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Authorized official

Name
Dr. Christine Renee Kidwell-Minx, D.C.NPI 1518148139
Title
Owner
Phone
(810) 603-1497

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 2301009399 MI Primary

Addresses

Primary practice location

8200 S Saginaw St
Suite 600
Grand Blanc, MI 48439-1843

Mailing address

8200 S Saginaw St
Suite 600
Grand Blanc, MI 48439-1843
Phone (810) 603-1497

Other names 1

  • Christine Renee Kidwell-Minx Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090202000612 MI Part B Supplier - Clinic/Group Practice 6305900531 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Blanc, MI

National Provider Directory

National Provider Directory

Locations

8200 S Saginaw St
Ste 600
Grand Blanc, MI 48439
Phone (810) 603-1497

8200 S Saginaw St
Ste 60
Grand Blanc, MI 48439

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": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1235385642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 S SAGINAW ST",
            "address_2": "SUITE 600",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391843",
            "telephone_number": "810-603-1497",
            "fax_number": "810-603-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 S SAGINAW ST",
            "address_2": "SUITE 600",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391843",
            "telephone_number": "810-603-1497",
            "fax_number": "810-603-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "KIDWELL-MINX",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-603-1497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christine Renee Kidwell-Minx",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.