Organization Active NPI

Viking Chiropractic LLC

  • Chiropractor
  • Marysville, MI
National Provider Identifier
1366746497
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009711 Issued in MI
Legal business name
VIKING CHIROPRACTIC LLC
Practice address
108 Huron Blvd
Marysville, MI 48040-1422
Phone
(810) 837-3538
NPI assigned
Jan 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Dr. Craig Justin Macneil, D.C.
Title
Owner
Phone
(810) 837-3538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301009711 MI Primary

Addresses

Primary practice location

108 Huron Blvd
Marysville, MI 48040-1422

Mailing address

108 Huron Blvd
Marysville, MI 48040-1422
Phone (810) 837-3538

Other names 1

  • Viking Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

108 Huron Blvd
Marysville, MI 48040
Phone (770) 639-7687

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1366746497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 HURON BLVD",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401422",
            "telephone_number": "810-837-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 HURON BLVD",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401422",
            "telephone_number": "810-837-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIKING CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "MACNEIL",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-837-3538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Viking Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.