Functional Health PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007518 Issued in MI

Legal business name

FUNCTIONAL HEALTH PC

Practice address

2499 W High St
Jackson, MI 49203

Phone

(517) 783-5525

Fax

(517) 841-9152

NPI assigned

Sep 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Todd Alexander Robertson, DCNPI 1659552586

Title

President Doctor

Phone

(517) 783-5525

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Todd A Robertson, DC

  • Chiropractor
  • Jackson, MI
  • NPI 1659552586
  Authorized official Same address or phone
• Andrew Lee Kellogg, D.C.

  • Chiropractor
  • Jackson, MI
  • NPI 1972823136
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306940788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2499 W HIGH ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49203",
            "telephone_number": "517-783-5525",
            "fax_number": "517-841-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 W HIGH ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49203",
            "telephone_number": "517-783-5525",
            "fax_number": "517-841-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT DOCTOR",
        "authorized_official_telephone_number": "517-783-5525",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Fritz, RD
• Joni Frost, NP
• Julie Marie Frownfelder
• Gregory W Fuller, D.O.
• Jennifer Fuller
• Alexis N Futrell
• G and R Felpausch Company (Felpausch Pharmacy)
• Ashley Gaarde
• Ghanshyambhai K Gadhiya, RPT
• Lindsay Kay Galicki, M.A.

• Chiropractor in Jackson, MI
• Providers in Jackson, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.