Walsh Chiropractic & Wellness Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008999 Issued in MI

Legal business name

WALSH CHIROPRACTIC & WELLNESS CENTER LLC

Practice address

1537 N Leroy
Suite F
Fenton, MI 48430-2795

Phone

(810) 629-6500

Fax

(810) 629-6616

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Thomas Walsh, D.C.NPI 1679599187

Title

Chiropractor

Phone

(810) 629-6500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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

• Michael Thomas Walsh, D.C.

  • Chiropractor
  • Fenton, MI
  • NPI 1679599187
  Medicare reassignment NPD Authorized official
• Ariel Cuthpert

  • Chiropractor
  • Burton, MI
  • NPI 1255040077
  NPD (past)
• Jaime L Rosewarne, DC

  • Chiropractor
  • Fenton, MI
  • NPI 1881902286
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1497838304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 N LEROY ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302795",
            "telephone_number": "810-629-6500",
            "fax_number": "810-629-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 N LEROY",
            "address_2": "SUITE F",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302795",
            "telephone_number": "810-629-6500",
            "fax_number": "810-629-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALSH CHIROPRACTIC & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "810-629-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Wagner, NP
• David Alan Wagner, D.D.S.
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Michael Thomas Walsh, D.C.
• Stephanie Walter
• Haley Nicole Wanic, DNP, A-GNP
• Chavonna Michele Webb, PHARMD
• Alexis Marie Weber

• Chiropractor in Fenton, MI
• Providers in Fenton, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.