Organization Active NPI

Shiawassee Spinal Center

  • Chiropractor
  • Owosso, MI
National Provider Identifier
1295094498
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009446 Issued in MI
Legal business name
SHIAWASSEE SPINAL CENTER
Practice address
1424 N M 52
Owosso, MI 48867-1235
Phone
(989) 720-2225
Fax
(989) 720-7274
NPI assigned
May 8, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Amanda M Cushman, DC
Title
Co-Owner
Phone
(989) 720-2225

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

1395 E M 21
Owosso, MI 48867
Phone (989) 720-2225

1424 N M 52
Owosso, MI 48867
Phone (989) 720-2225

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301009446 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

1424 N M 52
Owosso, MI 48867-1235

Mailing address

1424 N M 52
Owosso, MI 48867-1235
Phone (989) 720-2225

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 12, 2017.

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1295094498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 N M 52",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671235",
            "telephone_number": "989-720-2225",
            "fax_number": "989-720-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 N M 52",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671235",
            "telephone_number": "989-720-2225",
            "fax_number": "989-720-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIAWASSEE SPINAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "CUSHMAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "989-720-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.

Verify at the official NPI Registry.