John Alan Thorp, DC
Individual provider Active NPI Chiropractor · Saranac, MI
NPI 1477501492 · NPPES record last updated Jan 14, 2010
Key facts
- NPI
- 1477501492
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301007684 (MI)
- Practice address
- 11 Main St
Saranac, MI 48881-0174 - Phone
- (616) 642-9455
- Fax
- (616) 642-9456
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11 Main St
Saranac, MI 48881-5118
Phone (616) 642-9455
11 Main St PO Box
Suite 174
Saranac, MI 48881-0174
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101019000074 | MI | Practitioner - Chiropractic | 8325231749 | Practice locations: Saranac, MI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301007684 | MI | Yes |
Addresses
Primary practice location
11 Main St
Saranac, MI 48881-0174
Mailing address
PO Box 174
Saranac, MI 48881-0174
Phone (616) 642-9455
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97OC450070 | Other | MI | BCBSM |
Other providers in Saranac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.