NPIMap

Organization Active NPI

Michigan's Family Chiropractic- Albion, PLLC

  • Chiropractor
  • Albion, MI
National Provider Identifier
1649523820
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009951 Issued in MI
Legal business name
MICHIGAN'S FAMILY CHIROPRACTIC- ALBION, PLLC
Practice address
300 Austin Ave
Albion, MI 49224-1207
Phone
(517) 629-5505
Fax
(517) 629-3805
NPI assigned
Oct 24, 2012
Last updated
Feb 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Dr. Jacob Andrew Tazzi, D.C.NPI 1336492693
Title
Chiropractor
Phone
(517) 629-5505

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 2301009951 MI Primary

Addresses

Primary practice location

300 Austin Ave
Albion, MI 49224-1207

Mailing address

300 Austin Ave
Albion, MI 49224-1207
Phone (517) 629-5505

Other names 1

  • Albion Family Chiropractic, PLLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121128000734 MI Part B Supplier - Clinic/Group Practice 2062664907 Receives reassigned benefits from 10 practitioners
Practice locations: Albion, MI; Eaton Rapids, MI; Jackson, MI

National Provider Directory

National Provider Directory

Locations

300 Austin Ave
Albion, MI 49224
Phone (517) 629-5505

1467 S Main St
Eaton Rapids, MI 48827
Phone (517) 441-9177

610 W Michigan Ave
Jackson, MI 49201
Phone (517) 784-9101

Practitioners & affiliated clinicians

Practitioners 12

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": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1649523820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AUSTIN AVE",
            "city": "ALBION",
            "state": "MI",
            "postal_code": "492241207",
            "telephone_number": "517-629-5505",
            "fax_number": "517-629-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AUSTIN AVE",
            "city": "ALBION",
            "state": "MI",
            "postal_code": "492241207",
            "telephone_number": "517-629-5505",
            "fax_number": "517-629-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN'S FAMILY CHIROPRACTIC- ALBION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "TAZZI",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "517-629-5505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albion Family Chiropractic, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Albion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.