Main Street Family Chiropractic Center, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007768 Issued in MI

Legal business name

MAIN STREET FAMILY CHIROPRACTIC CENTER, P.C.

Practice address

109 W Main Street
Northville, MI 48167

Phone

(248) 735-9800

Fax

(248) 735-9801

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Stanley Stopa Jr., DC

Title

President

Phone

(248) 735-9800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1619059383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W MAIN STREET",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "48167",
            "telephone_number": "248-735-9800",
            "fax_number": "248-735-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MAIN STREET",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "48167",
            "telephone_number": "248-735-9800",
            "fax_number": "248-735-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET FAMILY CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "STOPA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-735-9800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950H253850",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Mackenzie
• Linda Madeleine
• Olivia Maes, PA-C
• Mary Markley Maesch, PT
• Jack Magarian, RPH
• Main Street Family Medicine P C
• Gail Diane Majcher, PH.D.
• Anita Monique Malone, MD
• Ramdeep Kaur Mann, AGPCNP
• Madelyn Ann Mans, DIPL. O.M , L.AC

• Chiropractor in Northville, MI
• Providers in Northville, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.