Catherine E. Wackerly, D.C., PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010128 Issued in MI

Legal business name

CATHERINE E. WACKERLY, D.C., PLLC

Doing business as

Wackerly Chiropractic

Practice address

412 Saginaw St
Bay City, MI 48708-5641

Phone

(989) 391-4082

NPI assigned

Mar 13, 2014

Last updated

Dec 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Catherine Krager, D.C.NPI 1235554189

Title

Chiropractor

Phone

(989) 667-9700

Specialties & licenses 1

Addresses

Other names 1

• Wackerly Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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.

• Catherine Krager, D.C.

  • Chiropractor
  • Bay City, MI
  • NPI 1235554189
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1609292663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 SAGINAW ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085641",
            "telephone_number": "989-391-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 SAGINAW ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085641",
            "telephone_number": "989-391-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE E. WACKERLY, D.C., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "KRAGER",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "989-667-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wackerly Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Bay City, MI
• Providers in Bay City, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.