A Chiro-Effect Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009586 Issued in MI

Legal business name

A CHIRO-EFFECT CHIROPRACTIC LLC

Practice address

7117 S Westnedge Ave Ste 3
Portage, MI 49002-4201

Phone

(269) 327-4813

NPI assigned

Nov 30, 2010

Last updated

Nov 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey E Wiederhold, DCNPI 1386876944

Title

Owner/ Operator

Phone

(269) 327-4813

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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.

• Jeffrey Edward Wiederhold, D.C.

  • Chiropractor
  • Portage, MI
  • NPI 1386876944
  Medicare reassignment Care Compare group NPD Authorized official
• Trevor F Eisaman, DC

  • Chiropractor
  • Kalamazoo, MI
  • NPI 1770050502
  Medicare reassignment Care Compare group NPD
• Kole Hanke

  • Chiropractor
  • Portage, MI
  • NPI 1144027640
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1528360351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 S WESTNEDGE AVE STE 3",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490024201",
            "telephone_number": "269-327-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7117 S WESTNEDGE AVE STE 3",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490024201",
            "telephone_number": "269-327-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CHIRO-EFFECT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "WIEDERHOLD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/ OPERATOR",
        "authorized_official_telephone_number": "269-327-4813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1386876944",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.