NPIMap

Organization Active NPI

Complete Care Chiropractic Clinic LLC

  • Chiropractor
  • Warren, MI
National Provider Identifier
1609925833
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008461 Issued in MI
Legal business name
COMPLETE CARE CHIROPRACTIC CLINIC LLC
Practice address
30061 Schoenherr
Suite B
Warren, MI 48088-3133
Phone
(586) 576-0701
Fax
(586) 576-0703
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Dr. Rosemary Batanjski, DCNPI 1487849204
Title
Chiropractor Owner
Phone
(586) 576-0701

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 2301008461 MI Primary

Addresses

Primary practice location

30061 Schoenherr
Suite B
Warren, MI 48088-3133

Mailing address

30061 Schoenherr
Suite B
Warren, MI 48088-3133
Phone (586) 576-0701

Other identifiers 1

IdentifierTypeStateIssuer
BCBS950E016690OtherBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050524000199 MI Part B Supplier - Clinic/Group Practice 9335181056 Receives reassigned benefits from 3 practitioners
Practice locations: Warren, MI

National Provider Directory

National Provider Directory

Locations

30061 Schoenherr Rd
Ste B
Warren, MI 48088
Phone (586) 573-4800

Practitioners & affiliated clinicians

Practitioners 3

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1609925833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30061 SCHOENHERR",
            "address_2": "SUITE B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883133",
            "telephone_number": "586-576-0701",
            "fax_number": "586-576-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30061 SCHOENHERR",
            "address_2": "SUITE B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883133",
            "telephone_number": "586-576-0701",
            "fax_number": "586-576-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "BATANJSKI",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "586-576-0701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "BCBS950E016690",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.