Active NPI
St. Clair Chiropractic Clinic P.C.
- Chiropractor
- Saint Clair, MI
National Provider Identifier
1508886904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301005229
- Legal business name
- ST. CLAIR CHIROPRACTIC CLINIC P.C.
- Practice address
- 301 Trumbull St
Saint Clair, MI 48079-5339 - Phone
- (810) 329-9121
- Fax
- (810) 329-3914
- NPI assigned
- Jul 20, 2006
- 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. Thomas Hanrahan, D.C.
- Title
- President
- Phone
- (810) 329-9121
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301005229 | MI | Primary |
Addresses
Primary practice location
301 Trumbull St
Saint Clair, MI 48079-5339
Mailing address
301 Trumbull St
Saint Clair, MI 48079-5339
Phone (810) 329-9121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950G411230 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
301 Trumbull St
Saint Clair, MI 48079
Phone (810) 329-9121
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Saint Clair, MI
- NPI 1871521534
-
- Chiropractor
- Port Huron, MI
- NPI 1285290031
-
- Orthopaedic Surgery Physician
- Westminster, CO
- NPI 1578585071
-
- Family Medicine Physician
- Keizer, OR
- NPI 1326174301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403827200000",
"number": "1508886904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 TRUMBULL ST",
"city": "SAINT CLAIR",
"state": "MI",
"postal_code": "480795339",
"telephone_number": "810-329-9121",
"fax_number": "810-329-3914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 TRUMBULL ST",
"city": "SAINT CLAIR",
"state": "MI",
"postal_code": "480795339",
"telephone_number": "810-329-9121",
"fax_number": "810-329-3914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. CLAIR CHIROPRACTIC CLINIC P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-20",
"last_updated": "2014-06-27",
"status": "A",
"authorized_official_last_name": "HANRAHAN",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "810-329-9121",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "2301005229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "950G411230",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.