Organization Active NPI

Clinton TWP Spine Care PC

  • Rehabilitation Chiropractor
  • Clinton TWP, MI
National Provider Identifier
1407991789
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
2301004922 Issued in MI
Legal business name
CLINTON TWP SPINE CARE PC
Doing business as
Clinton Twp Spine Care PC
Practice address
43475 Dalcoma Dr
Suite 145
Clinton TWP, MI 48038-3591
Phone
(810) 397-3590
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Troy Prince, DC
Title
President
Phone
(810) 397-3590

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Nutrition ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN1001X
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 2301004922 MI Primary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X 2301004922 MI

Addresses

Primary practice location

43475 Dalcoma Dr
Suite 145
Clinton TWP, MI 48038-3591

Mailing address

43475 Dalcoma Dr
Suite 145
Clinton TWP, MI 48038-3591
Phone (810) 397-3590

Other names 1

  • Clinton Twp Spine Care PC Doing business as

National Provider Directory

National Provider Directory

Locations

43475 Dalcoma Dr
Ste 145
Clinton Twp, MI 48038
Phone (586) 286-7246

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1407991789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43475 DALCOMA DR",
            "address_2": "SUITE 145",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383591",
            "telephone_number": "810-397-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43475 DALCOMA DR",
            "address_2": "SUITE 145",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383591",
            "telephone_number": "810-397-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON TWP SPINE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-397-3590",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MI",
            "license": "2301004922",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MI",
            "license": "2301004922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton Twp Spine Care PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.