NPIMap

Organization Active NPI

Sam Chan PC

Doing business as Chiromed Center Inc

  • Chiropractor
  • Owosso, MI
National Provider Identifier
1245408301
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SAM CHAN PC
Doing business as
Chiromed Center Inc
Practice address
1010 E M 21
Owosso, MI 48867-9007
Phone
(989) 729-2273
Fax
(989) 723-4836
NPI assigned
Feb 12, 2008
Last updated
Jan 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Mrs. Della L Steege
Title
Office Manager
Phone
(989) 729-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1010 E M 21
Owosso, MI 48867-9007

Mailing address

1010 E M 21
Owosso, MI 48867-9007
Phone (989) 729-2273

Other identifiers 1

IdentifierTypeStateIssuer
950G810860OtherMIBCBSM

Other names 1

  • Chiromed Center Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080425000656 MI Part B Supplier - Clinic/Group Practice 0648358960 Receives reassigned benefits from 1 practitioner
Practice locations: Owosso, MI

National Provider Directory

National Provider Directory
Tax ID family
Sam Chan PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1245408301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E M 21",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488679007",
            "telephone_number": "989-729-2273",
            "fax_number": "989-723-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E M 21",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488679007",
            "telephone_number": "989-729-2273",
            "fax_number": "989-723-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM CHAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "STEEGE",
        "authorized_official_first_name": "DELLA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "989-729-2273",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950G810860",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiromed Center Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owosso, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.