Organization Active NPI

Saks Wellness Center P.C.

  • Chiropractor
  • Gaylord, MI
National Provider Identifier
1386742245
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SAKS WELLNESS CENTER P.C.
Practice address
1447 S Otsego Ave
Gaylord, MI 49735-7739
Phone
(989) 732-7000
Fax
(989) 732-4271
NPI assigned
Sep 21, 2006
Last updated
Oct 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Ms. Theresa M Schmidt
Title
Administrator
Phone
(989) 732-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MI Primary

Addresses

Primary practice location

1447 S Otsego Ave
Gaylord, MI 49735-7739

Mailing address

PO Box 1488
Gaylord, MI 49734-5488
Phone (989) 732-7000

Other identifiers 1

IdentifierTypeStateIssuer
950F96006OtherMIBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101101001272 MI Part B Supplier - Clinic/Group Practice 9234323486 Receives reassigned benefits from 3 practitioners
Practice locations: Gaylord, MI

National Provider Directory

National Provider Directory

Locations

4637 Scenic Hwy
Bellaire, MI 49615
Phone (231) 533-5031

1447 S Otsego Ave
Gaylord, MI 49735
Phone (989) 732-7000

Practitioners & affiliated clinicians

Practitioners 9

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1386742245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1488",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497345488",
            "telephone_number": "989-732-7000",
            "fax_number": "989-732-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 S OTSEGO AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497357739",
            "telephone_number": "989-732-7000",
            "fax_number": "989-732-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAKS WELLNESS CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "989-732-7000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "950F96006",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.