Organization Active NPI

My Family Chiropractor, P.C.

  • Sports Physician Chiropractor
  • Gladwin, MI
National Provider Identifier
1497944391
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
AS005236 Issued in MI
Legal business name
MY FAMILY CHIROPRACTOR, P.C.
Practice address
120 Commerce CT
Gladwin, MI 48624-1220
Phone
(989) 426-6121
Fax
(989) 426-5466
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Dr. Albert Peter Sawaya, D.C.
Title
President
Phone
(989) 426-6121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X AS005236 MI Primary

Addresses

Primary practice location

120 Commerce CT
Gladwin, MI 48624-1220

Mailing address

120 Commerce CT
Gladwin, MI 48624-1220
Phone (989) 426-6121

Other identifiers 1

IdentifierTypeStateIssuer
1814784MedicaidMI

Other names 1

  • Mid Michigan Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101217000749 MI Part B Supplier - Clinic/Group Practice 5799973764 Receives reassigned benefits from 1 practitioner
Practice locations: Gladwin, MI

National Provider Directory

National Provider Directory

Locations

120 Commerce Ct
Gladwin, MI 48624
Phone (989) 426-6121

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": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1497944391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 COMMERCE CT",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486241220",
            "telephone_number": "989-426-6121",
            "fax_number": "989-426-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 COMMERCE CT",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486241220",
            "telephone_number": "989-426-6121",
            "fax_number": "989-426-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FAMILY CHIROPRACTOR, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "SAWAYA",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-426-6121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MI",
            "license": "AS005236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1814784",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Michigan Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gladwin, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.