Organization Active NPI

Berrien Family Chiropractic, Inc.

  • Chiropractor
  • Niles, MI
National Provider Identifier
1508944679
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007398 Issued in MI
Legal business name
BERRIEN FAMILY CHIROPRACTIC, INC.
Practice address
2028 S 11TH St
Niles, MI 49120-4074
Phone
(269) 683-1700
Fax
(269) 683-7038
NPI assigned
Nov 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rosamond C Soanes, D.C.NPI 1659464295
Title
Director
Phone
(269) 683-1700

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 2301007398 MI Primary

Addresses

Primary practice location

2028 S 11TH St
Niles, MI 49120-4074

Mailing address

2028 S 11TH St
Niles, MI 49120-4074
Phone (269) 683-1700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050224000811 MI Part B Supplier - Clinic/Group Practice 0042263584 Receives reassigned benefits from 1 practitioner
Practice locations: Berrien Springs, MI; Niles, MI

National Provider Directory

National Provider Directory

Locations

9046 US Highway 31
Ste 2
Berrien Springs, MI 49103
Phone (269) 471-3006

1036 Bell Rd
Niles, MI 49120
Phone (269) 683-1700

2714 S 11th St
Ste A
Niles, MI 49120
Phone (269) 683-1700

Practitioners & affiliated clinicians

Practitioners 3

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508944679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 S 11TH ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491204074",
            "telephone_number": "269-683-1700",
            "fax_number": "269-683-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 S 11TH ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491204074",
            "telephone_number": "269-683-1700",
            "fax_number": "269-683-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRIEN FAMILY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOANES",
        "authorized_official_first_name": "ROSAMOND",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "269-683-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.