NPIMap

Organization Active NPI

Pleasant Chiropractic PC

  • Chiropractor
  • Mt Pleasant, MI
National Provider Identifier
1255826236
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PLEASANT CHIROPRACTIC PC
Practice address
1639 E Broomfield St Ste E
Mt Pleasant, MI 48858-5433
Phone
(989) 954-9355
NPI assigned
Jun 22, 2018
Last updated
Jun 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Authorized official

Name
Corey Rodnick, DCNPI 1891808614
Title
Owner
Phone
(989) 832-7535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1639 E Broomfield St Ste E
Mt Pleasant, MI 48858-5433

Mailing address

4604 N Saginaw Rd Ste a
Midland, MI 48640-2394

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180707000136 MI Part B Supplier - Clinic/Group Practice 3577819473 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Pleasant, MI

National Provider Directory

National Provider Directory

Locations

1639 E Broomfield St
Ste E
Mt Pleasant, MI 48858
Phone (989) 317-8020

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1255826236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 N SAGINAW RD STE A",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 E BROOMFIELD ST STE E",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488585433",
            "telephone_number": "989-954-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "RODNICK",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-832-7535",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.