Organization Active NPI

Senechal Family Chiropractic, PC

  • Pediatric Chiropractor
  • New Hudson, MI
National Provider Identifier
1336402288
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
2301009669 Issued in MI
Legal business name
SENECHAL FAMILY CHIROPRACTIC, PC
Practice address
30802 Lyon Center Dr E
New Hudson, MI 48165-8582
Phone
(586) 337-6823
NPI assigned
Jun 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Alisha SenechalNPI 1760709331
Title
Doctor
Phone
(586) 337-6823

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
Pediatric ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NP0017X 2301009669 MI Primary

Addresses

Primary practice location

30802 Lyon Center Dr E
New Hudson, MI 48165-8582

Mailing address

30802 Lyon Center Dr E
New Hudson, MI 48165-8582
Phone (586) 337-6823

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120911000083 MI Part B Supplier - Clinic/Group Practice 1850549213 Receives reassigned benefits from 1 practitioner
Practice locations: New Hudson, MI

National Provider Directory

National Provider Directory

Locations

30802 Lyon Center Dr E
New Hudson, MI 48165
Phone (248) 486-4000

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": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1336402288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30802 LYON CENTER DR E",
            "city": "NEW HUDSON",
            "state": "MI",
            "postal_code": "481658582",
            "telephone_number": "586-337-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30802 LYON CENTER DR E",
            "city": "NEW HUDSON",
            "state": "MI",
            "postal_code": "481658582",
            "telephone_number": "586-337-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECHAL FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "SENECHAL",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "586-337-6823"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "MI",
            "license": "2301009669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hudson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.