Organization Active NPI

McKernan Family Chiropractic Center P.C.

  • Chiropractor
  • Shelby TWP, MI
National Provider Identifier
1497995310
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008433 Issued in MI
Legal business name
MCKERNAN FAMILY CHIROPRACTIC CENTER P.C.
Practice address
50544 Schoenherr Rd
Shelby TWP, MI 48315-3134
Phone
(586) 532-1448
Fax
(586) 532-1472
NPI assigned
Mar 5, 2009
Last updated
Mar 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Dr. Chad Donald McKernan, D.C.NPI 1962622175
Title
Owner/President
Phone
(586) 532-1448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008433 MI Primary

Addresses

Primary practice location

50544 Schoenherr Rd
Shelby TWP, MI 48315-3134

Mailing address

50544 Schoenherr Rd
Shelby TWP, MI 48315-3134
Phone (586) 532-1448

Other identifiers 7

IdentifierTypeStateIssuer
KERNANOtherHAP
CM008433OtherMIFIRST HEALTH
4685500MedicaidMI
950E05407OtherMIBLUE CROSS BLUE SHEILD
P31349 FOtherBLUE CARE NETWORK
16350OtherMIM CARE
485778OtherMIUMP

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1497995310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50544 SCHOENHERR RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483153134",
            "telephone_number": "586-532-1448",
            "fax_number": "586-532-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50544 SCHOENHERR RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483153134",
            "telephone_number": "586-532-1448",
            "fax_number": "586-532-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKERNAN FAMILY CHIROPRACTIC CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "MCKERNAN",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "586-532-1448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "KERNAN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "CM008433",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4685500",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "950E05407",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P31349 F",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M CARE",
            "identifier": "16350",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMP",
            "identifier": "485778",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.