Active NPI
Hudson Chiropractic PC
- Chiropractor
- Hudson, MI
National Provider Identifier
1245367366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301004913
- Legal business name
- HUDSON CHIROPRACTIC PC
- Practice address
- 794 N Maple Grove Ave
Hudson, MI 49247-1148 - Phone
- (517) 448-8515
- Fax
- (517) 448-3044
- NPI assigned
- Feb 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven Ray Laut, D.C.
- Title
- Chiropractor
- Phone
- (517) 448-8515
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301004913 | MI | Primary |
Addresses
Primary practice location
794 N Maple Grove Ave
Hudson, MI 49247-1148
Mailing address
PO Box 31
Hudson, MI 49247-0031
Phone (517) 448-8515
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SL004913 | Other | MI | PRIVATE INS. PROVIDER ID# |
| 4343700 | Medicaid | MI | |
| 950D650020 | Other | MI | BCBSM PROVIDER ID# |
| 36362049700 | Other | OH | WORKERS COMP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
794 N Maple Grove Ave
Hudson, MI 49247
Phone (517) 448-8515
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Hudson, MI
- NPI 1912907304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455062400000",
"number": "1245367366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31",
"city": "HUDSON",
"state": "MI",
"postal_code": "492470031",
"telephone_number": "517-448-8515",
"fax_number": "517-448-3044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "794 N MAPLE GROVE AVE",
"city": "HUDSON",
"state": "MI",
"postal_code": "492471148",
"telephone_number": "517-448-8515",
"fax_number": "517-448-3044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDSON CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2016-02-10",
"status": "A",
"authorized_official_last_name": "LAUT",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "517-448-8515",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "2301004913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE INS. PROVIDER ID#",
"identifier": "SL004913",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4343700",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM PROVIDER ID#",
"identifier": "950D650020",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "36362049700",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.