NPIMap

Organization Active NPI

Advanced Care Chiropractic PC

  • Chiropractor
  • Holly, MI
National Provider Identifier
1306038732
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
JW008827 Issued in MI
Legal business name
ADVANCED CARE CHIROPRACTIC PC
Practice address
1016 N Saginaw St
Suite C
Holly, MI 48442-1351
Phone
(248) 328-9800
Fax
(248) 328-9801
NPI assigned
Aug 9, 2007
Last updated
Nov 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Mrs. Misty White, D.C.
Title
Owner
Phone
(248) 328-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X JW008827 MI Primary

Addresses

Primary practice location

1016 N Saginaw St
Suite C
Holly, MI 48442-1351

Mailing address

1016 N Saginaw St
Suite C
Holly, MI 48442-1351
Phone (248) 328-9800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050412001015 MI Part B Supplier - Clinic/Group Practice 3173560059 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Holly, MI; Fenton, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Advanced Care Chiro PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3160 W Silver Lake Rd
#B
Fenton, MI 48430
Phone (248) 328-9800

1016 N Saginaw St
Ste A
Holly, MI 48442
Phone (248) 328-9800

1016 N Saginaw St
Ste C
Holly, MI 48442
Phone (248) 328-9800

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1306038732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 N SAGINAW ST",
            "address_2": "SUITE C",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421351",
            "telephone_number": "248-328-9800",
            "fax_number": "248-328-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 N SAGINAW ST",
            "address_2": "SUITE C",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421351",
            "telephone_number": "248-328-9800",
            "fax_number": "248-328-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-328-9800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "JW008827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.