Individual provider Active NPI

Willie L McFadden, D.C.

  • Chiropractor
  • Mount Clemens, MI
National Provider Identifier
1295934883
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008556 Issued in MI
Practice address
1430 SB Gratiot Ave
Mount Clemens, MI 48043-6533
Phone
(586) 468-6868
NPI assigned
Jul 13, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1430 SB Gratiot Ave
Mount Clemens, MI 48043

PO Box
Suite 532
Mount Clemens, MI 48046

PO Box
Suite 532
Mount Clemens, MI 48046-0532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301008556MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Dynamic Healthcare PLLC Chiropractor CurrentSince May 26, 2026 Accepting new patients
Bath City Chiropractic Clinic PLLC Past Accepting new patients

Locations

21360 Cass Ave
Clinton Township, MI 48036
Phone (586) 468-6868

1430 Gratiot Ave
Mount Clemens, MI 48043

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008556 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

1430 SB Gratiot Ave
Mount Clemens, MI 48043-6533

Mailing address

PO Box 532
Mount Clemens, MI 48046-0532
Phone (586) 468-6868

Other practice location 1

21360 Cass Ave
Clinton Township, MI 48036-1482
Phone (586) 468-6868

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2026.

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1295934883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480460532",
            "telephone_number": "586-468-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 SB GRATIOT AVE",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480436533",
            "telephone_number": "586-468-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21360 Cass Ave",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480361482",
            "country_code": "US",
            "telephone_number": "586-468-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "WILLIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.