Organization Active NPI

Family Chiropractor P.C.

  • Chiropractor
  • Clinton TWP, MI
National Provider Identifier
1285763250
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007910 Issued in MI
Legal business name
FAMILY CHIROPRACTOR P.C.
Practice address
44476 Hayes Rd
Clinton TWP, MI 48038-1090
Phone
(586) 263-7300
Fax
(586) 263-7207
NPI assigned
Mar 5, 2007
Last updated
Jan 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Authorized official

Name
Dr. Mark Allen Miller, DCNPI 1396843355
Title
President
Phone
(586) 263-7300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301007910 MI Primary

Addresses

Primary practice location

44476 Hayes Rd
Clinton TWP, MI 48038-1090

Mailing address

44476 Hayes Rd
Clinton TWP, MI 48038-1090
Phone (586) 263-7300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031104000286 MI Part B Supplier - Clinic/Group Practice 0941112312 Receives reassigned benefits from 2 practitioners
Practice locations: Clinton Township, MI

National Provider Directory

National Provider Directory

Locations

44476 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 263-7300

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1285763250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44476 HAYES RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381090",
            "telephone_number": "586-263-7300",
            "fax_number": "586-263-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44476 HAYES RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381090",
            "telephone_number": "586-263-7300",
            "fax_number": "586-263-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTOR P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-263-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.