Organization Active NPI

Cassity Chiropractic Center LLC

  • Chiropractor
  • Jackson, MI
National Provider Identifier
1366633323
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008940 Issued in MI
Legal business name
CASSITY CHIROPRACTIC CENTER LLC
Practice address
2111 Wildwood Ave
Jackson, MI 49202-4048
Phone
(517) 787-8309
Fax
(517) 787-8409
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Authorized official

Name
Gloria Jean Cassity
Title
Office Manager, Chiropractic Ass.
Phone
(517) 787-8309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301008940 MI Primary

Addresses

Primary practice location

2111 Wildwood Ave
Jackson, MI 49202-4048

Mailing address

2111 Wildwood Ave
Jackson, MI 49202-4048
Phone (517) 787-8309

Other identifiers 1

IdentifierTypeStateIssuer
OP24270001OtherMIMEDICARE PLUS BLUE

Other names 1

  • Vernie J. Cassity Doing business as

National Provider Directory

National Provider Directory

Locations

2111 Wildwood Ave
Jackson, MI 49202
Phone (517) 787-8309

906 W Monroe St
Jackson, MI 49202
Phone (517) 782-0010

Practitioners & affiliated clinicians

Practitioners 1

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": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1366633323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 WILDWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492024048",
            "telephone_number": "517-787-8309",
            "fax_number": "517-787-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 WILDWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492024048",
            "telephone_number": "517-787-8309",
            "fax_number": "517-787-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSITY CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "CASSITY",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER, CHIROPRACTIC ASS.",
        "authorized_official_telephone_number": "517-787-8309"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PLUS BLUE",
            "identifier": "OP24270001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vernie J. Cassity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.