Organization Active NPI

Physicians Wellness Group

  • Chiropractor
  • Flint, MI
National Provider Identifier
1558601419
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008370 Issued in MI
Legal business name
PHYSICIANS WELLNESS GROUP
Practice address
4400 S Saginaw St
Suite 1465
Flint, MI 48507-2645
Phone
(810) 869-9939
NPI assigned
Feb 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Dr. Keith Randall Denning, D.C.
Title
Doctor of Chiropractic
Phone
(810) 869-9939

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2301008370 MI Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5501006306 MI

Addresses

Primary practice location

4400 S Saginaw St
Suite 1465
Flint, MI 48507-2645

Mailing address

4400 S Saginaw St
Suite 1465
Flint, MI 48507-2645
Phone (810) 869-9939

National Provider Directory

National Provider Directory

Locations

4400 S Saginaw St
Ste 1465
Flint, MI 48507
Phone (810) 869-9939

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1558601419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 S SAGINAW ST",
            "address_2": "SUITE 1465",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072645",
            "telephone_number": "810-869-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 S SAGINAW ST",
            "address_2": "SUITE 1465",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072645",
            "telephone_number": "810-869-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "DENNING",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "810-869-9939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008370",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006306",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.