Fairview Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006520 Issued in MI

Legal business name

FAIRVIEW CHIROPRACTIC PLLC

Practice address

651 E M 55
Tawas City, MI 48763-9238

Phone

(989) 984-5100

Fax

(989) 305-6419

NPI assigned

May 2, 2007

Last updated

Oct 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Courtney Marie Bolen, DCNPI 1760848162

Title

Owner

Phone

(989) 984-5100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• Courtney Marie Bolen, D.C

  • Chiropractor
  • Tawas City, MI
  • NPI 1760848162
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1467674440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 E M 55",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639238",
            "telephone_number": "989-984-5100",
            "fax_number": "989-305-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 E M 55",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639238",
            "telephone_number": "989-984-5100",
            "fax_number": "989-305-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "BOLEN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-984-5100",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "006520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Ennes, MD
• Danielle Kristine Eno, LLPC
• Lori Enos
• Glen Enzenberger, DO
• Ryan Thomas Fahy, DO
• Family Foot and Ankle Center, P.C.
• Nicole Farrand, OTRL
• Mary Anne Filka, RN
• Dwight Fiske, PA-C, RN, AEMT
• FMG North Street West Michigan LLC (Tendercare Tawas City)

• Chiropractor in Tawas City, MI
• Providers in Tawas City, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.