Organization Active NPI

Andrews Family Chiropractic PLLC

  • Chiropractor
  • Manchester, MI
National Provider Identifier
1427114693
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009287 Issued in MI
Legal business name
ANDREWS FAMILY CHIROPRACTIC PLLC
Practice address
102 S. Clinton St.
Suite 1
Manchester, MI 48158
Phone
(734) 428-0550
Fax
(734) 428-0552
NPI assigned
Dec 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dana Ray Andrews, D.C.NPI 1114083581
Title
Chiropractor
Phone
(815) 541-9686

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
Chiropractor 111N00000X 2301009287 MI Primary

Addresses

Primary practice location

102 S. Clinton St.
Suite 1
Manchester, MI 48158

Mailing address

PO Box 523
Manchester, MI 48158-0523
Phone (734) 428-0550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070207000147 MI Part B Supplier - Clinic/Group Practice 2567464316 Receives reassigned benefits from 1 practitioner
Practice locations: Manchester, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practitioners & affiliated clinicians

Practitioners 2

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": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427114693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 523",
            "city": "MANCHESTER",
            "state": "MI",
            "postal_code": "481580523",
            "telephone_number": "734-428-0550",
            "fax_number": "734-428-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S. CLINTON ST.",
            "address_2": "SUITE 1",
            "city": "MANCHESTER",
            "state": "MI",
            "postal_code": "48158",
            "telephone_number": "734-428-0550",
            "fax_number": "734-428-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREWS FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "815-541-9686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.