Organization Active NPI

Mid-Michigan Sport & Spine

  • Chiropractor
  • Lansing, MI
National Provider Identifier
1407270424
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009983 Issued in MI
Legal business name
MID-MICHIGAN SPORT & SPINE
Practice address
3303 W Saginaw St
Suite A14
Lansing, MI 48917-2303
Phone
(517) 253-8123
Fax
(517) 253-8124
NPI assigned
Feb 11, 2014
Last updated
Feb 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Dr. Brett T AllenNPI 1497988455
Title
Owner
Phone
(517) 253-8123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009983 MI Primary

Addresses

Primary practice location

3303 W Saginaw St
Suite A14
Lansing, MI 48917-2303

Mailing address

3303 W Saginaw St
Suite A14
Lansing, MI 48917-2303
Phone (517) 253-8123

Other identifiers 1

IdentifierTypeStateIssuer
1497988455OtherMINPI

National Provider Directory

National Provider Directory

Locations

3303 W Saginaw St
Ste A14
Lansing, MI 48917
Phone (517) 253-8123

Practitioners & affiliated clinicians

Practitioners 1

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": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1407270424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 W SAGINAW ST",
            "address_2": "SUITE A14",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172303",
            "telephone_number": "517-253-8123",
            "fax_number": "517-253-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 W SAGINAW ST",
            "address_2": "SUITE A14",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172303",
            "telephone_number": "517-253-8123",
            "fax_number": "517-253-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MICHIGAN SPORT & SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-253-8123",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497988455",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.