NPIMap

Individual provider Active NPI

Marie Genna Parent, DC

  • Chiropractor
  • Lake Leelanau, MI
National Provider Identifier
1366407629
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004944 Issued in MI
Practice address
208 West Main Street
Lake Leelanau, MI 49653
Phone
(231) 256-2500
Fax
(231) 256-2575
NPI assigned
Apr 19, 2006
Last updated
Jun 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301004944 MI Primary

Addresses

Primary practice location

208 West Main Street
Lake Leelanau, MI 49653

Mailing address

PO Box 224
Lake Leelanau, MI 49653-0224
Phone (231) 256-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301004944MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bogart Family Chiropractic Chiropractor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1366407629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 224",
            "city": "LAKE LEELANAU",
            "state": "MI",
            "postal_code": "496530224",
            "telephone_number": "231-256-2500",
            "fax_number": "231-256-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 WEST MAIN STREET",
            "city": "LAKE LEELANAU",
            "state": "MI",
            "postal_code": "49653",
            "telephone_number": "231-256-2500",
            "fax_number": "231-256-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENNA PARENT",
        "first_name": "MARIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Leelanau, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.