Organization Active NPI

Creative Wellness Inc

  • Chiropractor
  • East Lansing, MI
National Provider Identifier
1609977222
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CREATIVE WELLNESS INC
Practice address
2045 Asher CT Ste 100
East Lansing, MI 48823-8444
Phone
(517) 351-9240
Fax
(517) 351-9242
NPI assigned
Sep 26, 2006
Last updated
Jan 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Heather Kranz
Title
Office Manager
Phone
(517) 351-9240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2045 Asher CT Ste 100
East Lansing, MI 48823-8444

Mailing address

2045 Asher CT Ste 100
East Lansing, MI 48823-8444
Phone (517) 351-9240

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210507001934 MI Part B Supplier - Clinic/Group Practice 4082023817 Receives reassigned benefits from 2 practitioners
Practice locations: East Lansing, MI

National Provider Directory

National Provider Directory

Locations

2045 Asher Ct
#100
East Lansing, MI 48823
Phone (517) 351-9240

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1609977222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 ASHER CT STE 100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238444",
            "telephone_number": "517-351-9240",
            "fax_number": "517-351-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 ASHER CT STE 100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238444",
            "telephone_number": "517-351-9240",
            "fax_number": "517-351-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "KRANZ",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-351-9240"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.