Organization Active NPI

Boyne Valley Chiropractic and Wellness

  • Chiropractor
  • Boyne City, MI
National Provider Identifier
1588520639
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BOYNE VALLEY CHIROPRACTIC AND WELLNESS
Practice address
430 Boyne Ave Unit 1
Boyne City, MI 49712-1263
Phone
(231) 675-1593
NPI assigned
Jan 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Corey Redman, DCNPI 1770449829
Title
Chiropractor
Phone
(231) 675-1593

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

430 Boyne Ave Unit 1
Boyne City, MI 49712-1263

Mailing address

430 Boyne Ave Unit 1
Boyne City, MI 49712-1263

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260317003457 MI Part B Supplier - Clinic/Group Practice 4981188000 Receives reassigned benefits from 1 practitioner
Practice locations: Boyne City, MI

National Provider Directory

National Provider Directory

Locations

430 Boyne Ave
#1
Boyne City, MI 49712
Phone (231) 675-1593

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": "1767312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1588520639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 BOYNE AVE UNIT 1",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497121263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 BOYNE AVE UNIT 1",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497121263",
            "telephone_number": "231-675-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYNE VALLEY CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-02",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "REDMAN",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "231-675-1593",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boyne City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.