Organization Active NPI

Moran Health System Inc

Doing business as Whole Health Traverse City

  • Nutrition Chiropractor
  • Traverse City, MI
National Provider Identifier
1417148750
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
2301006134 Issued in MI
Legal business name
MORAN HEALTH SYSTEM INC
Doing business as
Whole Health Traverse City
Practice address
3639 Cass Rd
Traverse City, MI 49684-9153
Phone
(231) 943-2100
Fax
(231) 766-6161
NPI assigned
Aug 1, 2007
Last updated
Apr 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Authorized official

Name
Dr. Christoper Moran, DC
Title
Owner
Phone
(231) 943-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 2301006134 MI Primary

Addresses

Primary practice location

3639 Cass Rd
Traverse City, MI 49684-9153

Mailing address

3639 Cass Rd
Traverse City, MI 49684-9153
Phone (231) 943-2100

Other identifiers 2

IdentifierTypeStateIssuer
0E910270OtherMIBLUE CROSS BLUE SHIELD
DA8082OtherMIRAIL ROAD MEDICARE

Other names 1

  • Whole Health Traverse City Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040428000832 MI Part B Supplier - Clinic/Group Practice 0941297295 Receives reassigned benefits from 1 practitioner
Practice locations: Traverse City, MI

National Provider Directory

National Provider Directory

Locations

1203 E Eighth St
Traverse City, MI 49686
Phone (231) 933-1117

Practitioners & affiliated clinicians

Practitioners 3

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": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1417148750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3639 CASS RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849153",
            "telephone_number": "231-943-2100",
            "fax_number": "231-766-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3639 CASS RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849153",
            "telephone_number": "231-943-2100",
            "fax_number": "231-766-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORAN HEALTH SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "CHRISTOPER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-943-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MI",
            "license": "2301006134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0E910270",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DA8082",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whole Health Traverse City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.