Organization Active NPI

Elevated Health and Performance Chiropractic Center PLLC

  • Chiropractor
  • Bronson, MI
National Provider Identifier
1477801744
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ELEVATED HEALTH AND PERFORMANCE CHIROPRACTIC CENTER PLLC
Practice address
646 E Chicago St
Bronson, MI 49028-1323
Phone
(517) 369-1455
Fax
(517) 369-5008
NPI assigned
Aug 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Authorized official

Name
Ronald Temple, D.C.
Title
Owner
Phone
(517) 369-1455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

646 E Chicago St
Bronson, MI 49028-1323

Mailing address

646 E Chicago St
Bronson, MI 49028-1323
Phone (517) 369-1455

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1477801744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 E CHICAGO ST",
            "city": "BRONSON",
            "state": "MI",
            "postal_code": "490281323",
            "telephone_number": "517-369-1455",
            "fax_number": "517-369-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 E CHICAGO ST",
            "city": "BRONSON",
            "state": "MI",
            "postal_code": "490281323",
            "telephone_number": "517-369-1455",
            "fax_number": "517-369-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED HEALTH AND PERFORMANCE CHIROPRACTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "TEMPLE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-369-1455",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.