Hackett Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009792 Issued in MI

Legal business name

HACKETT CHIROPRACTIC, LLC

Practice address

2820 Niles Rd
Saint Joseph, MI 49085-3338

Phone

(269) 429-1982

Fax

(269) 556-9615

NPI assigned

Mar 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Michael Hackett, DCNPI 1386942712

Title

Doctor of Chiropractic

Phone

(269) 429-1982

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Michael Hackett, DC

  • Chiropractor
  • Stevensville, MI
  • NPI 1386942712
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1629376066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853338",
            "telephone_number": "269-429-1982",
            "fax_number": "269-556-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853338",
            "telephone_number": "269-429-1982",
            "fax_number": "269-556-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKETT CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "269-429-1982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Grondin, M.D.
• Bettina E Grundler, MS, OTR/L
• Meghan Guntz, LMSW
• Alexander Gutfraynd, D.O.
• Dominique Jay Gutierrez, MD
• Bruce Patrick Hackworth, PHD
• Gale Sandra Hackworth, PHD
• David Haddad, DDS
• Bailey Hadlich, MD
• Madison Hadlich, MD

• Chiropractor in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.