Organization Active NPI

Hudson Chiropractic PC

  • Chiropractor
  • Hudson, MI
National Provider Identifier
1245367366
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004913 Issued in MI
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

Updated by the provider on Feb 10, 2016

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.NPI 1912907304
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
SL004913OtherMIPRIVATE INS. PROVIDER ID#
4343700MedicaidMI
950D650020OtherMIBCBSM PROVIDER ID#
36362049700OtherOHWORKERS COMP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070321000455 MI Part B Supplier - Clinic/Group Practice 3870696321 Receives reassigned benefits from 1 practitioner
Practice locations: Hudson, MI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.