Organization Active NPI

Dale a. Flora D.C. P. C.

  • Chiropractor
  • Saginaw, MI
National Provider Identifier
1306142294
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301003064 Issued in MI
Legal business name
DALE A. FLORA D.C. P. C.
Practice address
3350 Shattuck Rd
Suite 2
Saginaw, MI 48603-3287
Phone
(989) 793-7791
Fax
(989) 793-1378
NPI assigned
Feb 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Authorized official

Name
Dr. Dale A Flora, D.C.NPI 1619038072
Title
President
Phone
(989) 793-7791

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 2301003064 MI Primary

Addresses

Primary practice location

3350 Shattuck Rd
Suite 2
Saginaw, MI 48603-3287

Mailing address

3350 Shattuck Rd
Suite 2
Saginaw, MI 48603-3287
Phone (989) 793-7791

Other names 1

  • Chiropractic Intesive Care Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110308000121 MI Part B Supplier - Clinic/Group Practice 7517149875 Receives reassigned benefits from 1 practitioner
Practice locations: Saginaw, MI

National Provider Directory

National Provider Directory

Locations

3350 Shattuck Rd
Saginaw, MI 48603
Phone (989) 245-8730

3350 Shattuck Rd
Ste 2
Saginaw, MI 48603
Phone (989) 793-7791

Practitioners & affiliated clinicians

Practitioners 1

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": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1306142294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 SHATTUCK RD",
            "address_2": "SUITE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033287",
            "telephone_number": "989-793-7791",
            "fax_number": "989-793-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 SHATTUCK RD",
            "address_2": "SUITE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033287",
            "telephone_number": "989-793-7791",
            "fax_number": "989-793-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE A. FLORA D.C. P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "FLORA",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-793-7791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301003064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Intesive Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.