Organization Active NPI

Thompson Family Chiropractic

  • Rehabilitation Chiropractor
  • Niles, MI
National Provider Identifier
1558743203
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
7501003761 Issued in MI
Legal business name
THOMPSON FAMILY CHIROPRACTIC
Practice address
208 Grant St
Niles, MI 49120-2202
Phone
(269) 684-7822
NPI assigned
Jun 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Corina S Beechler, MASSAGE THERAPIST
Title
Massage Therapist
Phone
(269) 684-7822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 7501003761 MI Primary

Addresses

Primary practice location

208 Grant St
Niles, MI 49120-2202

Mailing address

208 Grant Street
Niles, MI 49120-2202
Phone (269) 684-7822

Other identifiers 1

IdentifierTypeStateIssuer
14-4315151MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1558743203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 GRANT STREET",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202202",
            "telephone_number": "269-684-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 GRANT ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202202",
            "telephone_number": "269-684-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "BEECHLER",
        "authorized_official_first_name": "CORINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "269-684-7822",
        "authorized_official_credential": "MASSAGE THERAPIST"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MI",
            "license": "7501003761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14-4315151",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.