Individual provider Active NPI

Alex Cesal

  • Chiropractor
  • Elk Rapids, MI
National Provider Identifier
1336894153
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301401417 Issued in MI
Practice address
201 River St Ste 203
Elk Rapids, MI 49629-9605
Phone
(231) 267-8315
NPI assigned
Feb 21, 2022
Last updated
Mar 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301401417 MI Primary

Addresses

Primary practice location

201 River St Ste 203
Elk Rapids, MI 49629-9605

Mailing address

PO Box 313
Elk Rapids, MI 49629-0313
Phone (810) 931-9478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220322002773 MO Practitioner - Chiropractic 1850786278
I20230605002265 MI Practitioner - Chiropractic 1850786278 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301401417MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Traverse Family Chiropractic PLLC Chiropractor CurrentSince May 4, 2023 Accepting new patients
Mitten Health & Performance Center LLC Chiropractor CurrentSince Dec 1, 2024 Accepting new patients

Locations

4110 Copper Ridge Dr
Ste 210
Traverse City, MI 49684
Phone (231) 933-1220

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1336894153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 313",
            "city": "ELK RAPIDS",
            "state": "MI",
            "postal_code": "496290313",
            "telephone_number": "810-931-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RIVER ST STE 203",
            "city": "ELK RAPIDS",
            "state": "MI",
            "postal_code": "496299605",
            "telephone_number": "231-267-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESAL",
        "first_name": "ALEX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-21",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.