Organization Active NPI

T.J. Nugent D.C., P.L.C.

  • Primary Care Clinic/Center
  • Midland, MI
National Provider Identifier
1316218597
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
2301005042 Issued in MI
Legal business name
T.J. NUGENT D.C., P.L.C.
Practice address
2931 Manor Dr
Midland, MI 48640-4476
Phone
(989) 835-8330
Fax
(989) 835-4906
NPI assigned
Jan 20, 2012
Last updated
Jan 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Authorized official

Name
Dr. T.J. Nugent, D.C.
Title
Doctor of Chiropractic
Phone
(989) 835-8330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 2301005042 MI Primary

Addresses

Primary practice location

2931 Manor Dr
Midland, MI 48640-4476

Mailing address

2931 Manor Dr
Midland, MI 48640-4476
Phone (989) 835-8330

Other names 1

  • T.J. Nugent D.C., P.C. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120321000898 MI Part B Supplier - Clinic/Group Practice 0648430041 Receives reassigned benefits from 1 practitioner
Practice locations: Midland, MI

National Provider Directory

National Provider Directory

Locations

2931 Manor Dr
Midland, MI 48640
Phone (631) 645-0670

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1316218597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 MANOR DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404476",
            "telephone_number": "989-835-8330",
            "fax_number": "989-835-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 MANOR DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404476",
            "telephone_number": "989-835-8330",
            "fax_number": "989-835-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.J. NUGENT D.C., P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "NUGENT",
        "authorized_official_first_name": "T.J.",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "989-835-8330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "2301005042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T.J. Nugent D.C., P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.