Jennifer Culp Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007494 Issued in MI

Legal business name

JENNIFER CULP CHIROPRACTIC, INC.

Practice address

9751 E Grand River Ave Ste 2
Portland, MI 48875-9774

Phone

(517) 994-6007

Fax

(517) 994-6009

NPI assigned

Mar 12, 2012

Last updated

May 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer M Culp, D.C.NPI 1962456350

Title

Owner

Phone

(517) 994-6009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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.

• Jennifer M Culp, DC

  • Chiropractor
  • Portland, MI
  • NPI 1962456350
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1275808180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9751 E GRAND RIVER AVE STE 2",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488759774",
            "telephone_number": "517-994-6007",
            "fax_number": "517-994-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9751 E GRAND RIVER AVE STE 2",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488759774",
            "telephone_number": "517-994-6007",
            "fax_number": "517-994-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER CULP CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "CULP",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-994-6009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christina Knoop, NP

• Chiropractor in Portland, MI
• Providers in Portland, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.