Organization Active NPI

Paradigm Chiropractic Center, PLC

  • Chiropractor
  • Marshall, MI
National Provider Identifier
1306277371
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010054 Issued in MI
Legal business name
PARADIGM CHIROPRACTIC CENTER, PLC
Practice address
420 E Michigan Ave
Marshall, MI 49068-1667
Phone
(269) 781-6417
Fax
(269) 781-2522
NPI assigned
Dec 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Dr. Justin Derek Casey, D.C.
Title
Owner
Phone
(269) 781-6417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301010054 MI Primary

Addresses

Primary practice location

420 E Michigan Ave
Marshall, MI 49068-1667

Mailing address

420 E Michigan Ave
Marshall, MI 49068-1667
Phone (269) 781-6417

National Provider Directory

National Provider Directory

Locations

420 E Michigan Ave
Marshall, MI 49068
Phone (269) 781-6417

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1306277371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681667",
            "telephone_number": "269-781-6417",
            "fax_number": "269-781-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681667",
            "telephone_number": "269-781-6417",
            "fax_number": "269-781-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM CHIROPRACTIC CENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-781-6417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.