Organization Active NPI

Piche Family Chiropractic P.L.L.C.

  • Chiropractor
  • Traverse City, MI
National Provider Identifier
1316146434
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
JP007905 Issued in MI
Legal business name
PICHE FAMILY CHIROPRACTIC P.L.L.C.
Practice address
1832 Oak Hollow Dr
Suite B
Traverse City, MI 49686-5902
Phone
(231) 995-0990
Fax
(231) 995-0991
NPI assigned
Jul 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Authorized official

Name
Dr. Joseph Patrick Piche, D.C.NPI 1851326227
Title
Principal Member
Phone
(231) 995-0990

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 MULTIPLE SINGLE SPECIALTY GROUP 111N00000X JP007905 MI Primary

Addresses

Primary practice location

1832 Oak Hollow Dr
Suite B
Traverse City, MI 49686-5902

Mailing address

1832 Oak Hollow Dr
Suite B
Traverse City, MI 49686-5902
Phone (231) 995-0990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040423000461 MI Part B Supplier - Clinic/Group Practice 8628064730 Receives reassigned benefits from 2 practitioners
Practice locations: Traverse City, MI

National Provider Directory

National Provider Directory
Tax ID family
Piche Family Chiropractic2 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

346 E Front St
Ste 5
Traverse City, MI 49684
Phone (231) 995-0990

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": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1316146434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 OAK HOLLOW DR",
            "address_2": "SUITE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496865902",
            "telephone_number": "231-995-0990",
            "fax_number": "231-995-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 OAK HOLLOW DR",
            "address_2": "SUITE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496865902",
            "telephone_number": "231-995-0990",
            "fax_number": "231-995-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICHE FAMILY CHIROPRACTIC P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "PICHE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRINCIPAL MEMBER",
        "authorized_official_telephone_number": "231-995-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "JP007905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.