Organization Active NPI

Paquin Chiropractic P.C.

  • Chiropractor
  • Saline, MI
National Provider Identifier
1649444126
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TP007301 Issued in MI
Legal business name
PAQUIN CHIROPRACTIC P.C.
Practice address
144 S Industrial Dr
Saline, MI 48176-9493
Phone
(734) 944-8484
Fax
(734) 944-8686
NPI assigned
Apr 16, 2008
Last updated
Mar 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Dr. Theodore James Paquin Jr., DCNPI 1477605350
Title
Director
Phone
(734) 944-8484

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
Chiropractor 111N00000X TP007301 MI Primary

Addresses

Primary practice location

144 S Industrial Dr
Saline, MI 48176-9493

Mailing address

144 S Industrial Dr
Saline, MI 48176-9493
Phone (734) 944-8484

Other identifiers 3

IdentifierTypeStateIssuer
95-0H11245-0OtherMIBC/BSM PROVIDER
TP007301OtherMISTATE LICENCE NUMBER
N90410003OtherCOMMON PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160426000420 MI Part B Supplier - Clinic/Group Practice 4385943372 Receives reassigned benefits from 1 practitioner
Practice locations: Saline, MI

National Provider Directory

National Provider Directory

Locations

144 S Industrial Dr
Saline, MI 48176
Phone (734) 944-8484

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1649444126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 S INDUSTRIAL DR",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769493",
            "telephone_number": "734-944-8484",
            "fax_number": "734-944-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 S INDUSTRIAL DR",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769493",
            "telephone_number": "734-944-8484",
            "fax_number": "734-944-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAQUIN CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "PAQUIN",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "734-944-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "TP007301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BSM PROVIDER",
            "identifier": "95-0H11245-0",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE NUMBER",
            "identifier": "TP007301",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMON PROVIDER NUMBER",
            "identifier": "N90410003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saline, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.