Organization Active NPI

Family Chiropractic Clinics of Michigan, P.C.

  • Chiropractor
  • Ann Arbor, MI
National Provider Identifier
1366561805
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FAMILY CHIROPRACTIC CLINICS OF MICHIGAN, P.C.
Practice address
250 W Eisenhower Pkwy Ste 120
Ann Arbor, MI 48103-6948
Phone
(734) 302-7000
Fax
(734) 302-7001
NPI assigned
Mar 28, 2007
Last updated
Nov 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Dr. Tamara L. Christiansen, D.C.NPI 1831241108
Title
Owner, Operator, Doctor
Phone
(734) 302-7000

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
Chiropractor 111N00000X Primary

Addresses

Primary practice location

250 W Eisenhower Pkwy Ste 120
Ann Arbor, MI 48103-6948

Mailing address

250 W Eisenhower Pkwy Ste 120
Ann Arbor, MI 48103-6948
Phone (734) 302-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040617000535 MI Part B Supplier - Clinic/Group Practice 8527042423 Receives reassigned benefits from 1 practitioner
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Locations

250 W Eisenhower Pkwy
Ste 120
Ann Arbor, MI 48103
Phone (734) 302-7000

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1366561805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W EISENHOWER PKWY STE 120",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036948",
            "telephone_number": "734-302-7000",
            "fax_number": "734-302-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W EISENHOWER PKWY STE 120",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036948",
            "telephone_number": "734-302-7000",
            "fax_number": "734-302-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC CLINICS OF MICHIGAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSEN",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER, OPERATOR, DOCTOR",
        "authorized_official_telephone_number": "734-302-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

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