Organization Active NPI

Carey Chiropractic Life Center, PLLC

  • Chiropractor
  • Ann Arbor, MI
National Provider Identifier
1437425410
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009551 Issued in MI
Legal business name
CAREY CHIROPRACTIC LIFE CENTER, PLLC
Practice address
4671 Washtenaw Ave
Ann Arbor, MI 48108-1301
Phone
(734) 377-5659
NPI assigned
Mar 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Authorized official

Name
Scott Allen Carey, D.C.NPI 1700020484
Title
Chiropractor/Owner
Phone
(734) 377-5659

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 2301009551 MI Primary

Addresses

Primary practice location

4671 Washtenaw Ave
Ann Arbor, MI 48108-1301

Mailing address

4671 Washtenaw Ave
Ann Arbor, MI 48108-1301
Phone (734) 377-5659

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121005000047 MI Part B Supplier - Clinic/Group Practice 0749439859 Receives reassigned benefits from 1 practitioner
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Locations

4671 Washtenaw Ave
Ann Arbor, MI 48108
Phone (734) 377-5659

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": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1437425410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4671 WASHTENAW AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081301",
            "telephone_number": "734-377-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4671 WASHTENAW AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081301",
            "telephone_number": "734-377-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREY CHIROPRACTIC LIFE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "734-377-5659",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.