Individual provider Active NPI

Jinny Lee Sirard, D.C.

  • Chiropractor
  • Chassell, MI
National Provider Identifier
1366613143
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009414 Issued in MI
Practice address
45070 US Highway 41
Chassell, MI 49916
Phone
(906) 482-2400
Fax
(906) 482-3080
NPI assigned
Mar 19, 2008
Last updated
May 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009414 MI Primary

Addresses

Primary practice location

45070 US Highway 41
Chassell, MI 49916

Mailing address

45070 US Highway 41
Chassell, MI 49916
Phone (906) 482-2400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080430000800 MI Practitioner - Chiropractic 8123107257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Superior Chiropractic Associates PLLCGroup PAC ID 4385833631, 2 clinicians

Practice addresses (Care Compare)

404 E Sharon Ave
Houghton, MI 49931-1612
Phone (906) 523-7089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009414MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Family Chiropractic PLLC Chiropractor Past Accepting new patients
Keweenaw Bay Indian Community Past Accepting new patients

Organizations & group practices 3

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": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273190400000",
    "number": "1366613143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45070 US HIGHWAY 41",
            "city": "CHASSELL",
            "state": "MI",
            "postal_code": "49916",
            "telephone_number": "906-482-2400",
            "fax_number": "906-482-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45070 US HIGHWAY 41",
            "city": "CHASSELL",
            "state": "MI",
            "postal_code": "49916",
            "telephone_number": "906-482-2400",
            "fax_number": "906-482-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRARD",
        "first_name": "JINNY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2010-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chassell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.