Organization Active NPI

Innate Wisdom, PLC

  • Chiropractor
  • Rapid City, MI
National Provider Identifier
1346471919
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009486 Issued in MI
Legal business name
INNATE WISDOM, PLC
Practice address
9995 Rapid City Rd NW
Rapid City, MI 49676-8412
Phone
(231) 331-7010
Fax
(231) 331-7011
NPI assigned
Jul 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Authorized official

Name
Dr. Trevor Darnell, D.C.NPI 1417112467
Title
General Manager
Phone
(231) 331-7010

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 2301009486 MI Primary

Addresses

Primary practice location

9995 Rapid City Rd NW
Rapid City, MI 49676-8412

Mailing address

9995 Rapid City Rd NW
Rapid City, MI 49676-8412
Phone (231) 331-7010

Other names 1

  • Torch Chiropractic Family Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091015000418 MI Part B Supplier - Clinic/Group Practice 3678619046 Receives reassigned benefits from 2 practitioners
Practice locations: Rapid City, MI

National Provider Directory

National Provider Directory

Locations

9060 N Bayshore Dr
Elk Rapids, MI 49629

9995 Rapid City Rd NW
Rapid City, MI 49676
Phone (231) 331-7010

Practitioners & affiliated clinicians

Practitioners 2

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": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1346471919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9995 RAPID CITY RD NW",
            "city": "RAPID CITY",
            "state": "MI",
            "postal_code": "496768412",
            "telephone_number": "231-331-7010",
            "fax_number": "231-331-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9995 RAPID CITY RD NW",
            "city": "RAPID CITY",
            "state": "MI",
            "postal_code": "496768412",
            "telephone_number": "231-331-7010",
            "fax_number": "231-331-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE WISDOM, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "DARNELL",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "231-331-7010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Torch Chiropractic Family Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rapid City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.