Organization Active NPI

Hillsdale Chiropractic Clinic, PC

  • Chiropractor
  • Jonesville, MI
National Provider Identifier
1346328986
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HILLSDALE CHIROPRACTIC CLINIC, PC
Practice address
735 Olds St
Jonesville, MI 49250-9477
Phone
(517) 849-0000
Fax
(517) 849-2631
NPI assigned
Nov 1, 2006
Last updated
Jun 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Peggy Ann Stjohn
Title
Office Manager
Phone
(517) 849-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

735 Olds St
Jonesville, MI 49250-9477

Mailing address

735 Olds St
Jonesville, MI 49250-9477
Phone (517) 849-0000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060109000351 MI Part B Supplier - Clinic/Group Practice 4284657933 Receives reassigned benefits from 2 practitioners
Practice locations: Jonesville, MI

National Provider Directory

National Provider Directory

Locations

79 Hillsdale St
Hillsdale, MI 49242
Phone (517) 439-9800

735 Olds St
Jonesville, MI 49250
Phone (517) 849-0000

Practitioners & affiliated clinicians

Practitioners 6

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1346328986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 OLDS ST",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492509477",
            "telephone_number": "517-849-0000",
            "fax_number": "517-849-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 OLDS ST",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492509477",
            "telephone_number": "517-849-0000",
            "fax_number": "517-849-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSDALE CHIROPRACTIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "STJOHN",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-849-0000"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesville, MI

Sources for this page

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