Organization Active NPI

Poirier Chiropractic, Inc.

  • Chiropractor
  • Shelby Township, MI
National Provider Identifier
1346398104
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
NP007137 Issued in MI
Legal business name
POIRIER CHIROPRACTIC, INC.
Practice address
47101 Hayes Rd
Shelby Township, MI 48315-4910
Phone
(586) 566-5005
Fax
(586) 566-6695
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Authorized official

Name
Dr. Nicole Poirier, D.C.NPI 1396771499
Title
President
Phone
(586) 566-5005

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 SINGLE SPECIALTY GROUP 111N00000X NP007137 MI Primary

Addresses

Primary practice location

47101 Hayes Rd
Shelby Township, MI 48315-4910

Mailing address

47101 Hayes Rd
Shelby Township, MI 48315-4910
Phone (586) 566-5005

Other identifiers 2

IdentifierTypeStateIssuer
4494212MedicaidMI
95 0E012640OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040123001003 MI Part B Supplier - Clinic/Group Practice 1759283203 Receives reassigned benefits from 1 practitioner
Practice locations: Shelby Township, MI

National Provider Directory

National Provider Directory

Locations

47101 Hayes Rd
Shelby Township, MI 48315
Phone (586) 532-9774

Practitioners & affiliated clinicians

Practitioners 5

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1346398104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47101 HAYES RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483154910",
            "telephone_number": "586-566-5005",
            "fax_number": "586-566-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47101 HAYES RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483154910",
            "telephone_number": "586-566-5005",
            "fax_number": "586-566-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POIRIER CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "POIRIER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-566-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "NP007137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4494212",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "95 0E012640",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.