NPIMap

Organization Active NPI

Chiropractic Center of Petoskey PC

  • Chiropractor
  • Petoskey, MI
National Provider Identifier
1346429016
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
GP008342 Issued in MI
Legal business name
CHIROPRACTIC CENTER OF PETOSKEY PC
Practice address
205 W Mitchell
Petoskey, MI 49770-2325
Phone
(231) 347-7272
Fax
(231) 347-7414
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Dr. Gary Patrick Pateman, DCNPI 1740280742
Title
Owner President
Phone
(231) 347-7272

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 GP008342 MI Primary

Addresses

Primary practice location

205 W Mitchell
Petoskey, MI 49770-2325

Mailing address

205 W Mitchell
Petoskey, MI 49770-2325
Phone (231) 347-7272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080110000256 MI Part B Supplier - Clinic/Group Practice 9335229764 Receives reassigned benefits from 3 practitioners
Practice locations: Petoskey, MI

National Provider Directory

National Provider Directory

Locations

205 W Mitchell St
Petoskey, MI 49770
Phone (231) 347-7272

1523 US Highway 131
Ste C
Petoskey, MI 49770
Phone (231) 347-7272

Practitioners & affiliated clinicians

Practitioners 4

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": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1346429016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W MITCHELL",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702325",
            "telephone_number": "231-347-7272",
            "fax_number": "231-347-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W MITCHELL",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702325",
            "telephone_number": "231-347-7272",
            "fax_number": "231-347-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CENTER OF PETOSKEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "PATEMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "231-347-7272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "GP008342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.