Northern Michigan Chiropractic Center, PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

NORTHERN MICHIGAN CHIROPRACTIC CENTER, PLC

Practice address

970 N Center Ave
Gaylord, MI 49735-9375

Phone

(989) 731-4050

Fax

(989) 731-4803

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brian Douglas Oliver, D.C.NPI 1174573463

Title

Owner

Phone

(989) 731-4050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oliver Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Brian Douglas Oliver, D.C.

  • Chiropractor
  • Gaylord, MI
  • NPI 1174573463
  Medicare reassignment Care Compare group NPD Authorized official
• Renee Vanessa Elias, D.C.

  • Chiropractor
  • Gaylord, MI
  • NPI 1588610547
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1508892910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N CENTER AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359375",
            "telephone_number": "989-731-4050",
            "fax_number": "989-731-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N CENTER AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359375",
            "telephone_number": "989-731-4050",
            "fax_number": "989-731-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MICHIGAN CHIROPRACTIC CENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-731-4050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4388102",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oliver Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kira Norris
• North Shores Center, LLC
• Northern Family Intervention Services, Inc.
• Northern Management Services LTD
• Northern Management Services, LTD.
• Northern Michigan Family Dentistry PLLC
• Northern Michigan Home Care, Inc
• Northern Michigan Re-Integration Services, Inc.
• Northern Michigan Substance Abuse Services, Inc.
• Northsport Physical Therapy & Rehabilitation P C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.