Organization Active NPI

Southwest Michigan Chiropractic, Inc,

  • Chiropractor
  • Three Rivers, MI
National Provider Identifier
1437423951
Registry record updated Mar 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009125 Issued in MI
Legal business name
SOUTHWEST MICHIGAN CHIROPRACTIC, INC,
Practice address
72 N Main St
Three Rivers, MI 49093-1532
Phone
(269) 324-3131
Fax
(269) 762-6700
NPI assigned
Mar 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2023

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

Authorized official

Name
Dr. Sheri Darlene Carpenter, D.C.NPI 1033175476
Title
Chiropractor/ Ceo
Phone
(269) 491-6861

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 2301009125 MI Primary

Addresses

Primary practice location

72 N Main St
Three Rivers, MI 49093-1532

Mailing address

6749 S Westnedge Ave
Suite B
Portage, MI 49002-3574
Phone (269) 324-3131

Other identifiers 1

IdentifierTypeStateIssuer
MI5705MedicaidMI

Other names 1

  • SWMC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120712000499 MI Part B Supplier - Clinic/Group Practice 5991960197 Receives reassigned benefits from 1 practitioner
Practice locations: Three Rivers, MI; Portage, MI

National Provider Directory

National Provider Directory

Locations

6749 S Westnedge Ave
Portage, MI 49002
Phone (269) 324-3131

6749 S Westnedge Ave
Ste B
Portage, MI 49002
Phone (269) 324-3131

72 N Main St
Three Rivers, MI 49093
Phone (269) 324-3131

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677974400000",
    "number": "1437423951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6749 S WESTNEDGE AVE",
            "address_2": "SUITE B",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490023574",
            "telephone_number": "269-324-3131",
            "fax_number": "269-329-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 N MAIN ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490931532",
            "telephone_number": "269-324-3131",
            "fax_number": "269-762-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MICHIGAN CHIROPRACTIC, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "CHIROPRACTOR/ CEO",
        "authorized_official_telephone_number": "269-491-6861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MI5705",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SWMC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SWMC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Three Rivers, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2023; 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.