Birch Run Chiropractic Clinic PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301005216 Issued in MI

Legal business name

BIRCH RUN CHIROPRACTIC CLINIC PLC

Practice address

7890 Main
Birch Run, MI 48415

Phone

(989) 624-6266

Fax

(989) 624-4407

NPI assigned

Aug 31, 2016

Last updated

Jan 24, 2017By 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. Kenneth Robert Tiller, D.C.NPI 1093801201

Title

President

Phone

(989) 624-6266

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• Kenneth Robert Tiller, DC

  • Chiropractor
  • Birch Run, MI
  • NPI 1093801201
  Medicare reassignment NPD Authorized official
• Candace C Gorges, DC. MS.

  • Rehabilitation Chiropractor
  • Frankenmuth, MI
  • NPI 1366957144
  NPD

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1609322486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "BIRCH RUN",
            "state": "MI",
            "postal_code": "484150399",
            "telephone_number": "989-624-6266",
            "fax_number": "989-624-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7890 MAIN",
            "city": "BIRCH RUN",
            "state": "MI",
            "postal_code": "48415",
            "telephone_number": "989-624-6266",
            "fax_number": "989-624-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH RUN CHIROPRACTIC CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "TILLER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-624-6266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2928135",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara K Barbersek, LIMASSAGE THERAPIST
• Morganne Paige Bayliss, OD
• BDD Arw PC (Dr. White Dental)
• Jennifer Lynn Bender-Stafford, FNP-BC
• Beyond Rehabilitation PLLC
• Birch Run Family Dental PC
• Sarah Elizabeth Block, PHARM.D.
• Rebecca Alyce Boensch, MSN, APRN, BC
• Julia Ann Briggs, AGACNP-BC
• Belinda Pauline Bryce, MSN, RN, FNP-BC

• Chiropractor in Birch Run, MI
• Providers in Birch Run, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.