Organization Active NPI

Dalton Chiropractic PLLC

  • Chiropractor
  • Frankenmuth, MI
National Provider Identifier
1548917008
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DALTON CHIROPRACTIC PLLC
Practice address
487 N Main St Ste D
Frankenmuth, MI 48734-1112
Phone
(989) 297-5473
NPI assigned
Mar 4, 2022
Last updated
Mar 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Authorized official

Name
Rachel Clements
Title
Front Desk Manager
Phone
(989) 948-0755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

487 N Main St Ste D
Frankenmuth, MI 48734-1112

Mailing address

4849 Mackinaw Rd
Saginaw, MI 48603-7247

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL daltonchiropllc@gmail.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220606001324 MI Part B Supplier - Clinic/Group Practice 3779961669 Receives reassigned benefits from 5 practitioners
Practice locations: Frankenmuth, MI

National Provider Directory

National Provider Directory
Tax ID family
Dalton Chiropractic PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

487 N Main St
Ste D
Frankenmuth, MI 48734
Phone (989) 297-5473

975 N Main St
Ste 1
Frankenmuth, MI 48734
Phone (636) 236-9241

Practitioners & affiliated clinicians

Practitioners 5

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": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1548917008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 MACKINAW RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486037247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 N MAIN ST STE D",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341112",
            "telephone_number": "989-297-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALTON CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "FRONT DESK MANAGER",
        "authorized_official_telephone_number": "989-948-0755"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "daltonchiropllc@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "487 N Main St Ste D",
            "city": "Frankenmuth",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487341112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frankenmuth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.