NPIMap

Individual provider Active NPI

Dorian Parent, CHIROPRACTOR

  • Chiropractor
  • Rockford, MI
National Provider Identifier
1477553949
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301006178 Issued in MI
Practice address
6769 Courtland Dr NE
Suite 100
Rockford, MI 49341-9606
Phone
(616) 863-9482
Fax
(616) 863-9486
NPI assigned
Jul 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301006178 MI Primary

Addresses

Primary practice location

6769 Courtland Dr NE
Suite 100
Rockford, MI 49341-9606

Mailing address

3750 S Grants LNDG
Lake Leelanau, MI 49653-9694
Phone (231) 256-2725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301006178MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Physical Medicine PLLC Past Accepting new patients
Cedar Chiropractic, PC Chiropractor Past Accepting new patients
Chiropractic Health Center of Rockford Chiropractor PastSince Dec 12, 2004 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1477553949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 S GRANTS LNDG",
            "city": "LAKE LEELANAU",
            "state": "MI",
            "postal_code": "496539694",
            "telephone_number": "231-256-2725",
            "fax_number": "231-256-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6769 COURTLAND DR NE",
            "address_2": "SUITE 100",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493419606",
            "telephone_number": "616-863-9482",
            "fax_number": "616-863-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARENT",
        "first_name": "DORIAN",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 19, 2007; 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.