Organization Active NPI

Patt Chiropractic,P.C.

  • Chiropractor
  • Gladwin, MI
National Provider Identifier
1497970990
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
JP003048 Issued in MI
Legal business name
PATT CHIROPRACTIC,P.C.
Practice address
1139 E Cedar Ave
Pob 367
Gladwin, MI 48624-7003
Phone
(989) 426-8461
Fax
(989) 426-2121
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffery Ronald Patt II, D.C.
Title
President
Phone
(989) 426-8461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X JP003048 MI Primary

Addresses

Primary practice location

1139 E Cedar Ave
Pob 367
Gladwin, MI 48624-7003

Mailing address

1139 E Cedar Ave
Pob 367
Gladwin, MI 48624-7003
Phone (989) 426-8461

National Provider Directory

National Provider Directory

Locations

1139 E Cedar Ave
Gladwin, MI 48624
Phone (989) 426-8461

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497970990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 E CEDAR AVE",
            "address_2": "POB 367",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486247003",
            "telephone_number": "989-426-8461",
            "fax_number": "989-426-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 E CEDAR AVE",
            "address_2": "POB 367",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486247003",
            "telephone_number": "989-426-8461",
            "fax_number": "989-426-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATT CHIROPRACTIC,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATT",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-426-8461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "JP003048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.