Organization Active NPI

Marine City Chiropractic PLLC

  • Chiropractor
  • Marine City, MI
National Provider Identifier
1477908754
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010413 Issued in MI
Legal business name
MARINE CITY CHIROPRACTIC PLLC
Practice address
260 S Parker St
Marine City, MI 48039-3599
Phone
(810) 278-0647
NPI assigned
Apr 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Dr. Jacob Kern, D.C.
Title
Owner
Phone
(810) 278-0647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301010413 MI Primary

Addresses

Primary practice location

260 S Parker St
Marine City, MI 48039-3599

Mailing address

260 S Parker St
Marine City, MI 48039-3599

National Provider Directory

National Provider Directory

Locations

260 S Parker St
Marine City, MI 48039
Phone (810) 278-0647

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1477908754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S PARKER ST",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480393599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S PARKER ST",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480393599",
            "telephone_number": "810-278-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINE CITY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-278-0647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marine City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.