Active NPI
Tayler Suydam, D.C
- Chiropractor
- Adrian, MI
National Provider Identifier
1245699669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301010348
- Practice address
- 1149 Sand Creek Hwy
Suite B
Adrian, MI 49221-1288 - Phone
- (517) 577-6047
- NPI assigned
- Feb 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301010348 | MI | Primary |
Addresses
Primary practice location
1149 Sand Creek Hwy
Suite B
Adrian, MI 49221-1288
Mailing address
1149 Sand Creek Hwy
Unit B
Adrian, MI 49221-1288
Phone (517) 577-6047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301010348 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491868800000",
"number": "1245699669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1149 SAND CREEK HWY",
"address_2": "UNIT B",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211288",
"telephone_number": "517-577-6047",
"fax_number": "517-577-6037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 SAND CREEK HWY",
"address_2": "SUITE B",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211288",
"telephone_number": "517-577-6047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUYDAM",
"first_name": "TAYLER",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-12",
"last_updated": "2017-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301010348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Adrian, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.