Organization Active NPI

Doc Side Chiropractic LLC

  • Chiropractor
  • Chesterfield, MI
National Provider Identifier
1609061480
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007117 Issued in MI
Legal business name
DOC SIDE CHIROPRACTIC LLC
Practice address
32801 Redbud Pkwy
Chesterfield, MI 48047-1490
Phone
(586) 201-9020
Fax
(586) 648-2648
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Dr. Nick Francis Hartop, D.C.NPI 1811910078
Title
Owner
Phone
(586) 201-9020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301007117 MI Primary

Addresses

Primary practice location

32801 Redbud Pkwy
Chesterfield, MI 48047-1490

Mailing address

32801 Redbud Pkwy
Chesterfield, MI 48047-1490
Phone (586) 201-9020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071231000030 MI Part B Supplier - Clinic/Group Practice 8123108339 Receives reassigned benefits from 1 practitioner
Practice locations: Chesterfield, MI

National Provider Directory

National Provider Directory

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": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1609061480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32801 REDBUD PKWY",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480471490",
            "telephone_number": "586-201-9020",
            "fax_number": "586-648-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32801 REDBUD PKWY",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480471490",
            "telephone_number": "586-201-9020",
            "fax_number": "586-648-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC SIDE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "HARTOP",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-201-9020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.