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
Last updated
Jul 13, 2017By the provider in NPPES
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.NPI 1609872464
Title
Owner
Phone
(989) 672-4141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 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
108119OtherMIGREAT LAKES
099-1528OtherMIHEALTHPLUS
0G950090OtherMIBCBS

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

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": "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": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "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"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0G950090",
            "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.