NPIMap

Organization Active NPI

Chiropractic Wellness Center of Caro PLLC

  • Chiropractor
  • Caro, MI
National Provider Identifier
1356502249
Registry record updated Jul 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007693 Issued in MI
Legal business name
CHIROPRACTIC WELLNESS CENTER OF CARO PLLC
Practice address
758 N State St
Caro, MI 48723-1546
Phone
(989) 672-4141
Fax
(989) 672-4040
NPI assigned
Jun 23, 2008
Reactivated
Jan 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2017

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

Authorized official

Name
Dr. Robert W Gabriel, D.C.
Title
Owner
Phone
(989) 672-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301007693 MI Primary

Addresses

Primary practice location

758 N State St
Caro, MI 48723-1546

Mailing address

758 N State St
Caro, MI 48723-1546
Phone (989) 672-4141

Other identifiers 3

IdentifierTypeStateIssuer
0G950090OtherMIBCBS
108119OtherMIGREAT LAKES
099-1528OtherMIHEALTHPLUS

National Provider Directory

National Provider Directory

Locations

758 N State St
Caro, MI 48723
Phone (989) 672-4141

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": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499904000000",
    "number": "1356502249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 N STATE ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231546",
            "telephone_number": "989-672-4141",
            "fax_number": "989-672-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 N STATE ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231546",
            "telephone_number": "989-672-4141",
            "fax_number": "989-672-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WELLNESS CENTER OF CARO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2017-07-13",
        "deactivation_date": "2008-10-21",
        "reactivation_date": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-672-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0G950090",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES",
            "identifier": "108119",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "099-1528",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.