Active NPI
My Family Chiropractor, P.C.
- Sports Physician Chiropractor
- Gladwin, MI
National Provider Identifier
1497944391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- AS005236
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1814784 | Medicaid | MI |
Other names 1
- Mid Michigan Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Gladwin, MI
- NPI 1194120717
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.