Organization Active NPI

Trufant Chiropractic Center, LLC

Doing business as Cultivate Health Chiropractic

  • Chiropractor
  • Rockford, MI
National Provider Identifier
1477161966
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TRUFANT CHIROPRACTIC CENTER, LLC
Doing business as
Cultivate Health Chiropractic
Practice address
11775 Cedar Rock Dr NE Ste C
Rockford, MI 49341-8255
Phone
(616) 984-5200
Fax
(503) 296-5303
NPI assigned
Jul 21, 2020
Last updated
Nov 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Ms. Jessica Ruth Brown, DCNPI 1033507504
Title
Owner
Phone
(616) 984-5200

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

11775 Cedar Rock Dr NE Ste C
Rockford, MI 49341-8255

Mailing address

951 N Jones Rd
Pierson, MI 49339-9754
Phone (616) 990-1842

Other names 1

  • Cultivate Health Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210105002933 MI Part B Supplier - Clinic/Group Practice 5092128397 Receives reassigned benefits from 1 practitioner
Practice locations: Rockford, MI

National Provider Directory

National Provider Directory

Locations

11775 Cedar Rock Dr NE
Ste C
Rockford, MI 49341
Phone (616) 439-0267

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": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1477161966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 N JONES RD",
            "city": "PIERSON",
            "state": "MI",
            "postal_code": "493399754",
            "telephone_number": "616-990-1842",
            "fax_number": "503-296-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11775 CEDAR ROCK DR NE STE C",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418255",
            "telephone_number": "616-984-5200",
            "fax_number": "503-296-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUFANT CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-984-5200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cultivate Health Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cultivate Health Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.