Organization Active NPI

Coldwater Chiropractic & Wellness Center, PLLC

  • Chiropractor
  • Coldwater, MI
National Provider Identifier
1386969459
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009654 Issued in MI
Legal business name
COLDWATER CHIROPRACTIC & WELLNESS CENTER, PLLC
Practice address
173 E Chicago St
Coldwater, MI 49036-1703
Phone
(517) 278-2519
NPI assigned
Apr 1, 2010
Reactivated
Feb 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Dr. Nicole Louise Hatt, D.C.NPI 1417953027
Title
Member
Phone
(517) 278-2519

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301009654 MI Primary

Addresses

Primary practice location

173 E Chicago St
Coldwater, MI 49036-1703

Mailing address

408 Fox Rd
Coldwater, MI 49036-9483
Phone (517) 278-2519

Other practice location 1

2655 N State Road 127
Angola, IN 46703-7519
Phone (517) 278-2519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100629000713 MI Part B Supplier - Clinic/Group Practice 2062543473 Receives reassigned benefits from 2 practitioners
Practice locations: Coldwater, MI
O20191001002364 IN Part B Supplier - Clinic/Group Practice 2062543473 Receives reassigned benefits from 2 practitioners
Practice locations: Angola, IN

National Provider Directory

National Provider Directory

Locations

173 E Chicago St
Coldwater, MI 49036
Phone (517) 278-2519

892 E Chicago St
Ste I
Coldwater, MI 49036
Phone (517) 278-2519

Practitioners & affiliated clinicians

Practitioners 6

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": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1386969459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 FOX RD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490369483",
            "telephone_number": "517-278-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 E CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361703",
            "telephone_number": "517-278-2519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2655 N State Road 127",
            "address_purpose": "LOCATION",
            "city": "Angola",
            "state": "IN",
            "postal_code": "467037519",
            "country_code": "US",
            "telephone_number": "517-278-2519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLDWATER CHIROPRACTIC & WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "deactivation_date": "2023-01-20",
        "reactivation_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "HATT",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "517-278-2519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.