Rackham Chiropractic Plus PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301005984 Issued in MI

Legal business name

RACKHAM CHIROPRACTIC PLUS PLLC

Doing business as

Dr. Rackham's Chiropractic Plus

Practice address

9396 SW Greenville Rd
Greenville, MI 48838-9445

Phone

(616) 754-7717

Fax

(616) 754-7791

NPI assigned

Apr 4, 2011

Last updated

Jun 13, 2016By 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

Mrs. Denise Rackham

Title

Office Manager

Phone

(616) 754-7717

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Dr. Rackham's Chiropractic Plus Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• Aaron Lee Rackham, D.C.

  • Chiropractor
  • Greenville, MI
  • NPI 1902865504
  Medicare reassignment

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1275822843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9396 SW GREENVILLE RD",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488389445",
            "telephone_number": "616-754-7717",
            "fax_number": "616-754-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9396 SW GREENVILLE RD",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488389445",
            "telephone_number": "616-754-7717",
            "fax_number": "616-754-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACKHAM CHIROPRACTIC PLUS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "RACKHAM",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "616-754-7717",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN",
            "identifier": "1010600",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2910050",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "P00219768",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0989924",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Rackham's Chiropractic Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Potter, MSW
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• Lisa Ann Pullum, DO
• Leah Beth Quintanilla, LMSW
• Aaron Lee Rackham, D.C.
• Randy's House
• Jack R Razmus, PHARMD
• Kaitlyn Reed
• Kevin Clark Reed, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.