Individual provider Active NPI

Derek Landis, DC

  • Chiropractor
  • Richmond, MI
National Provider Identifier
1578422200
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301401689 Issued in MI
Practice address
66990 Gratiot Ave
Richmond, MI 48062-1913
Phone
(586) 727-8900
NPI assigned
Jan 19, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301401689 MI Primary

Addresses

Primary practice location

66990 Gratiot Ave
Richmond, MI 48062-1913

Mailing address

6747 Marsh Rd
Cottrellville, MI 48039-2107
Phone (810) 278-4987

Other practice location 1

67200 Van Dyke Rd Ste 203
Washington, MI 48095-1463
Phone (586) 310-5065

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260228000559 MI Practitioner - Chiropractic 2567944473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66990 Gratiot Ave
Suite a
Richmond, MI 48062-1913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301401689MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Landis Chiropractic & Wellness PLLC Current Accepting new patients
Varga Family Chiropractic, PLLC Chiropractor CurrentSince Feb 1, 2026 Accepting new patients

Locations

66990 Gratiot Ave
#A
Richmond, MI 48062
Phone (586) 727-8900

66990 Gratiot Ave
Richmond, MI 48062
Phone (586) 727-8900

67200 Van Dyke Rd
Ste 203
Washington Township, MI 48095
Phone (586) 310-5065

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1578422200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6747 MARSH RD",
            "city": "COTTRELLVILLE",
            "state": "MI",
            "postal_code": "480392107",
            "telephone_number": "810-278-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66990 GRATIOT AVE",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480621913",
            "telephone_number": "586-727-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67200 Van Dyke Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MI",
            "postal_code": "480951463",
            "country_code": "US",
            "telephone_number": "586-310-5065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.