Organization Active NPI

Grand Blanc Chiropractic LLC

  • Chiropractor
  • Grand Blanc, MI
National Provider Identifier
1508411976
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GRAND BLANC CHIROPRACTIC LLC
Doing business as
grand blanc chiropractic llc
Practice address
8445 S Saginaw St Ste 201
Grand Blanc, MI 48439-2085
Phone
(702) 696-8519
NPI assigned
Aug 2, 2019
Last updated
Aug 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Authorized official

Name
Angela Cherniawski, DCNPI 1568493815
Title
Owner
Phone
(702) 696-8519

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

8445 S Saginaw St Ste 201
Grand Blanc, MI 48439-2085

Mailing address

8445 S Saginaw St Ste 201
Grand Blanc, MI 48439-2085
Phone (702) 696-8519

Other names 1

  • grand blanc chiropractic llc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190923002355 MI Part B Supplier - Clinic/Group Practice 8325378003 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Blanc, MI

National Provider Directory

National Provider Directory

Locations

8445 S Saginaw St
Ste 201
Grand Blanc, MI 48439
Phone (702) 696-8519

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": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564704000000",
    "number": "1508411976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8445 S SAGINAW ST STE 201",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392085",
            "telephone_number": "702-696-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8445 S SAGINAW ST STE 201",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392085",
            "telephone_number": "702-696-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND BLANC CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A",
        "authorized_official_last_name": "CHERNIAWSKI",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-696-8519",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "grand blanc chiropractic llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.