Organization Active NPI

Mead Chiropractic PC

Doing business as Relief Chiropractic and Wellness Center

  • Chiropractor
  • Saint Joseph, MI
National Provider Identifier
1417229790
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009696 Issued in MI
Legal business name
MEAD CHIROPRACTIC PC
Doing business as
Relief Chiropractic and Wellness Center
Practice address
3830 M 139 Ste 119
Saint Joseph, MI 49085-9609
Phone
(269) 408-0303
Fax
(269) 408-0083
NPI assigned
Feb 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Dr. Russell E Mead, D.CNPI 1700186277
Title
Owner/Doctor
Phone
(269) 408-0303

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 2301009696 MI Primary

Addresses

Primary practice location

3830 M 139 Ste 119
Saint Joseph, MI 49085-9609

Mailing address

3830 M 139 Ste 119
Saint Joseph, MI 49085-9609
Phone (269) 408-0303

Other names 1

  • Relief Chiropractic and Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

4100 M 139
Ste 112
Saint Joseph, MI 49085
Phone (269) 408-0303

3830 M 139
Ste 119
Saint Joseph, MI 49085
Phone (269) 408-0303

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": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1417229790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 M 139 STE 119",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859609",
            "telephone_number": "269-408-0303",
            "fax_number": "269-408-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 M 139 STE 119",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859609",
            "telephone_number": "269-408-0303",
            "fax_number": "269-408-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEAD CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "MEAD",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "269-408-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Relief Chiropractic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Relief Chiropractic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.