Active NPI
Dennis L McCormack, D.C.
- Chiropractor
- Canton, MI
National Provider Identifier
1659322782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DM2301005936
- Practice address
- 1716 S Lilley Rd
Canton, MI 48188-1108 - Phone
- (734) 394-0771
- Fax
- (734) 394-2528
- NPI assigned
- May 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DM2301005936 | MI | Primary |
Addresses
Primary practice location
1716 S Lilley Rd
Canton, MI 48188-1108
Mailing address
49196 Andover CT
Canton, MI 48187-1120
Phone (734) 667-2012
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 617443 | Other | MI | ACN |
| CH820019 | Other | MI | MCARE |
| 112371 | Other | MI | PREFERRED CARE CHOICES |
| 3296688 | Medicaid | MI | |
| 4800650 | Other | MI | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1716 S Lilley Rd
Canton, MI 48188-1108
Phone (734) 394-0771
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DM2301005936 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCormack Chiropractic, PLLC | Chiropractor | Current | Accepting new patients |
Locations
1716 S Lilley Rd
Canton, MI 48188
Phone (734) 394-0771
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Canton, MI
- NPI 1598947434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1659322782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49196 ANDOVER CT",
"city": "CANTON",
"state": "MI",
"postal_code": "481871120",
"telephone_number": "734-667-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1716 S LILLEY RD",
"city": "CANTON",
"state": "MI",
"postal_code": "481881108",
"telephone_number": "734-394-0771",
"fax_number": "734-394-2528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMACK",
"first_name": "DENNIS",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "DM2301005936",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "617443",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "CH820019",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE CHOICES",
"identifier": "112371",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3296688",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4800650",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.