Wander Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WANDER CHIROPRACTIC PLLC

Practice address

215 W Cedar Ave
Gladwin, MI 48624-2019

Phone

(989) 282-1881

NPI assigned

Feb 4, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Raina Lee Broadstone, DC

Title

Owner

Phone

(989) 282-1881

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raina Lee Greaves, D.C.

  • Chiropractor
  • Gladwin, MI
  • NPI 1497100119
  Medicare reassignment NPD

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1508670274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W CEDAR AVE",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486242019",
            "telephone_number": "989-282-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W CEDAR AVE",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486242019",
            "telephone_number": "989-282-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDER CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "BROADSTONE",
        "authorized_official_first_name": "RAINA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-282-1881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Varney, BCABA
• Shania Leigh Verhelle
• Angelique Antoinette Villarreal
• Jean Marie Vincent
• Emily Voelker
• Madison Ware
• Mackenzie Kay Weisend
• Victoria Lee Wellman
• Jerzey Lynn Wentz
• Brooke Werth

• Chiropractor in Gladwin, MI
• Providers in Gladwin, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.