Organization Active NPI

New Deerfield Chiropractic Inc.

  • Chiropractor
  • North Branch, MI
National Provider Identifier
1467623413
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005901 Issued in MI
Legal business name
NEW DEERFIELD CHIROPRACTIC INC.
Practice address
5830 N Lapeer Rd
Ste B.
North Branch, MI 48461-9660
Phone
(810) 793-7376
Fax
(810) 793-7647
NPI assigned
Mar 18, 2008
Last updated
Dec 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Authorized official

Name
Mr. Jeffrey Richard Kotchounian, ECT
Title
Manger
Phone
(810) 793-7376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301005901 MI Primary

Addresses

Primary practice location

5830 N Lapeer Rd
Ste B.
North Branch, MI 48461-9660

Mailing address

6229 Willits Rd
Fostoria, MI 48435-9420
Phone (810) 793-7376

National Provider Directory

National Provider Directory

Locations

604 S Main St
#170
Lapeer, MI 48446
Phone (810) 793-7376

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1467623413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6229 WILLITS RD",
            "city": "FOSTORIA",
            "state": "MI",
            "postal_code": "484359420",
            "telephone_number": "810-793-7376",
            "fax_number": "810-793-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 N LAPEER RD",
            "address_2": "STE B.",
            "city": "NORTH BRANCH",
            "state": "MI",
            "postal_code": "484619660",
            "telephone_number": "810-793-7376",
            "fax_number": "810-793-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DEERFIELD CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "KOTCHOUNIAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "810-793-7376",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ECT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Branch, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.