Grand Traverse Family Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009800 Issued in MI

Legal business name

GRAND TRAVERSE FAMILY CHIROPRACTIC PLLC

Doing business as

Grand Traverse Family Chiropractic

Practice address

4110 Copper Ridge Dr Ste 210
Traverse City, MI 49684-6721

Phone

(231) 943-2229

Fax

(231) 943-2231

NPI assigned

May 27, 2015

Last updated

May 27, 2015By 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. Robert Lyons, D.C.NPI 1255666970

Title

Owner

Phone

(231) 943-2229

Specialties & licenses 1

Addresses

Other names 1

• Grand Traverse Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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.

• Robert J Lyons, D.C.

  • Chiropractor
  • Traverse City, MI
  • NPI 1255666970
  Medicare reassignment Care Compare group NPD Authorized official
• Shannon Wilmot Barger, DC

  • Chiropractor
  • Gainesville, FL
  • NPI 1083619324

  MI

  Medicare reassignment Care Compare group NPD
• Alex Cesal

  • Chiropractor
  • Elk Rapids, MI
  • NPI 1336894153
  Medicare reassignment NPD

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1295114973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 COPPER RIDGE DR STE 210",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846721",
            "telephone_number": "231-943-2229",
            "fax_number": "231-943-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 COPPER RIDGE DR STE 210",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846721",
            "telephone_number": "231-943-2229",
            "fax_number": "231-943-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND TRAVERSE FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-943-2229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Traverse Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grand Traverse Children's Clinic
• Grand Traverse County Commission on Aging
• Grand Traverse County Health Department
• Grand Traverse County Health Department
• Grand Traverse Dental Care, PC
• Grand Traverse Foot & Ankle Center P.C.
• Grand Traverse Heart Institute (Grand Traverse Heart Associates)
• Grand Traverse Industries, Inc.
• Grand Traverse Internists, PC
• Grand Traverse Nutrition, LLC

• Chiropractor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.