Maple Lake Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010027 Issued in MI

Legal business name

MAPLE LAKE CHIROPRACTIC

Practice address

109 W Michigan Ave
Paw Paw, MI 49079-1415

Phone

(269) 876-7814

NPI assigned

Apr 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Brittany M Gregory, D.C.NPI 1750657086

Title

Owner

Phone

(269) 876-7814

Specialties & licenses 1

Addresses

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.

• Brittany Marie Gregory, D.C.

  • Chiropractor
  • Wayland, MI
  • NPI 1750657086
  Medicare reassignment Care Compare group NPD Authorized official
• Joshua Robert Hines, D.C.

  • Chiropractor
  • Kankakee, IL
  • NPI 1578832622

  MI

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1528486909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W MICHIGAN AVE",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490791415",
            "telephone_number": "269-876-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MICHIGAN AVE",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490791415",
            "telephone_number": "269-876-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE LAKE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-876-7814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrin Patrick Lund, D.O.
• Patrick Michael Lynch, R.PH.
• David Patrick Mahon
• Gudrun E Mahrle, RN
• Maple Lake Assisted Living
• Maplelakebuilders
• Mapleview Consultation Center PC
• Nicole Marion
• Kathleen Ann Marquette, M.A.L.L.P.
• Erik Matheny, MPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.