Clements Chiropractic Clinic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007332 Issued in MI

Legal business name

CLEMENTS CHIROPRACTIC CLINIC, INC.

Practice address

51060 Hayes Rd
Macomb, MI 48042-4057

Phone

(586) 781-4314

Fax

(586) 781-4452

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Derek M Clements, D.C.NPI 1578542395

Title

President

Phone

(586) 781-4314

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

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

• Derek Michael Clements, D.C.

  • Chiropractor
  • Macomb Township, MI
  • NPI 1578542395
  Medicare reassignment NPD Authorized official
• Vladimir Josip Brajak, DC

  • Chiropractor
  • Brighton, MI
  • NPI 1801845052
  NPD (past)
• Charles R Kratz, D.C.

  • Chiropractor
  • Macomb, MI
  • NPI 1972724474
  NPD (past)
• Pamela Lynn Tomaszycki, D.C.

  • Chiropractor
  • Macomb, MI
  • NPI 1831101054
  NPD (past)
• Nicole Marie Wilbraham, D.C.

  • Chiropractor
  • Macomb Township, MI
  • NPI 1013996834
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1457431017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51060 HAYES RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424057",
            "telephone_number": "586-781-4314",
            "fax_number": "586-781-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51060 HAYES RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424057",
            "telephone_number": "586-781-4314",
            "fax_number": "586-781-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMENTS CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-781-4314",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOTAL HEALTH CARE",
            "identifier": "0170734",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950E052630",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carly Christy, PT, DPT
• Angela Chubb, RN
• Theresa Lynn Cipponeri, LMSW
• Stephanie Ann Civic, LMT
• Clarity Home Health Care
• CNS Healthcare
• Cobblestone Ridge Dentistry
• Complete Rehab Services, Inc
• Comprehensive Foot & Ankle Health, P.C.
• Sean G Connolly, O.D.

• Chiropractor in Macomb, MI
• Providers in Macomb, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.