Organization Active NPI

Ward Chiropractic Center P.L.L.C.

  • Chiropractor
  • Canton, MI
National Provider Identifier
1306022611
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005653 Issued in MI
Legal business name
WARD CHIROPRACTIC CENTER P.L.L.C.
Practice address
7680 N Canton Center Rd
Canton, MI 48187-1500
Phone
(734) 459-4458
Fax
(734) 459-3870
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Patrick D Ward, D.C.NPI 1184840027
Title
Owner
Phone
(734) 459-4458

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 2301005653 MI Primary

Addresses

Primary practice location

7680 N Canton Center Rd
Canton, MI 48187-1500

Mailing address

7680 N Canton Center Rd
Canton, MI 48187-1500
Phone (734) 459-4458

Other identifiers 1

IdentifierTypeStateIssuer
950Q25110OtherBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170215000264 MI Part B Supplier - Clinic/Group Practice 8628351756 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, MI

National Provider Directory

National Provider Directory

Locations

7680 N Canton Center Rd
Canton, MI 48187
Phone (734) 459-4458

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1306022611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7680 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871500",
            "telephone_number": "734-459-4458",
            "fax_number": "734-459-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7680 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871500",
            "telephone_number": "734-459-4458",
            "fax_number": "734-459-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARD CHIROPRACTIC CENTER P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-459-4458",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950Q25110",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.