Organization Active NPI

Everingham Chiropractic Health Center, P.C.

  • Chiropractor
  • Romulus, MI
National Provider Identifier
1497048565
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007988 Issued in MI
Legal business name
EVERINGHAM CHIROPRACTIC HEALTH CENTER, P.C.
Practice address
12100 S Huron River Dr
Romulus, MI 48174-1119
Phone
(734) 941-5620
NPI assigned
May 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Mr. Craig James Everingham, D.C.NPI 1598861429
Title
Chiropractor
Phone
(734) 941-5620

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301007988 MI Primary

Addresses

Primary practice location

12100 S Huron River Dr
Romulus, MI 48174-1119

Mailing address

12100 S Huron River Dr
Romulus, MI 48174-1119
Phone (734) 941-5620

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110621000307 MI Part B Supplier - Clinic/Group Practice 0941488001 Receives reassigned benefits from 1 practitioner
Practice locations: Romulus, MI

National Provider Directory

National Provider Directory

Locations

36738 Goddard Rd
Romulus, MI 48174
Phone (734) 941-5620

Practitioners & affiliated clinicians

Practitioners 1

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": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1497048565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 S HURON RIVER DR",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741119",
            "telephone_number": "734-941-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 S HURON RIVER DR",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741119",
            "telephone_number": "734-941-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERINGHAM CHIROPRACTIC HEALTH CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "EVERINGHAM",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "734-941-5620",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romulus, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.