Organization Active NPI

Newaygo Chiropractic Center P.C.

  • Chiropractor
  • Newaygo, MI
National Provider Identifier
1558555771
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007767 Issued in MI
Legal business name
NEWAYGO CHIROPRACTIC CENTER P.C.
Practice address
38 State Rd
Newaygo, MI 49337-7926
Phone
(231) 652-4523
Fax
(231) 652-4513
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Dr. Eric Rounds Alan Rounds, D.C.
Title
President
Phone
(231) 652-4523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301007767 MI Primary

Addresses

Primary practice location

38 State Rd
Newaygo, MI 49337-7926

Mailing address

PO Box 901
Newaygo, MI 49337-0901
Phone (231) 652-4523

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050202000931 MI Part B Supplier - Clinic/Group Practice 2163473554 Receives reassigned benefits from 1 practitioner
Practice locations: Newaygo, MI

National Provider Directory

National Provider Directory

Locations

8609 S Mason Dr
Newaygo, MI 49337
Phone (231) 652-4523

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1558555771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 901",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493370901",
            "telephone_number": "231-652-4523",
            "fax_number": "231-652-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 STATE RD",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493377926",
            "telephone_number": "231-652-4523",
            "fax_number": "231-652-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWAYGO CHIROPRACTIC CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "ROUNDS",
        "authorized_official_first_name": "ERIC ROUNDS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-652-4523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newaygo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.