Organization Active NPI

Straits Area Chiropractic Wellness Centers, PLLC

  • Chiropractor
  • Cheboygan, MI
National Provider Identifier
1578649190
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008274 Issued in MI
Legal business name
STRAITS AREA CHIROPRACTIC WELLNESS CENTERS, PLLC
Practice address
401 W Elm St
Cheboygan, MI 49721-1622
Phone
(231) 597-9999
Fax
(231) 597-1042
NPI assigned
Oct 27, 2006
Last updated
Dec 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Dr. Kristin Gilbert, D.C.NPI 1568687291
Title
Partner
Phone
(231) 597-9999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2301008274 MI Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2301008412 MI

Addresses

Primary practice location

401 W Elm St
Cheboygan, MI 49721-1622

Mailing address

401 W Elm St
Cheboygan, MI 49721-1622
Phone (231) 597-9999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080320000070 MI Part B Supplier - Clinic/Group Practice 3072699834 Receives reassigned benefits from 2 practitioners
Practice locations: Cheboygan, MI

National Provider Directory

National Provider Directory

Locations

401 W Elm St
Cheboygan, MI 49721
Phone (231) 445-1191

Practitioners & affiliated clinicians

Practitioners 2

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": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1578649190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W ELM ST",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497211622",
            "telephone_number": "231-597-9999",
            "fax_number": "231-597-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W ELM ST",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497211622",
            "telephone_number": "231-597-9999",
            "fax_number": "231-597-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAITS AREA CHIROPRACTIC WELLNESS CENTERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "231-597-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008274",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheboygan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.