Park Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009211 Issued in MI

Legal business name

PARK CHIROPRACTIC, P.C.

Practice address

717 W Washington St
Suite a
Marquette, MI 49855-4100

Phone

(906) 226-2666

Fax

(906) 226-5502

NPI assigned

Oct 26, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Terry JS Park, DCNPI 1669517793

Title

Owner.

Phone

(906) 226-2666

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Terry Park, D.C.

  • Chiropractor
  • Marquette, MI
  • NPI 1669517793
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1659657302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 W WASHINGTON ST",
            "address_2": "SUITE A",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554100",
            "telephone_number": "906-226-2666",
            "fax_number": "906-226-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 W WASHINGTON ST",
            "address_2": "SUITE A",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554100",
            "telephone_number": "906-226-2666",
            "fax_number": "906-226-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "JS",
        "authorized_official_title_or_position": "OWNER.",
        "authorized_official_telephone_number": "906-226-2666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Michael Pap, MD
• Kathryn Pap, NP
• Kayleen P Papin, M.D.
• Allison Paquet, RN
• Parallel Home Care Services, Inc.
• Minkyung Park
• Pierce C. Park, MD
• Terry Park, D.C.
• Susan Ann Parker, PT
• William Daryll Parkkonen, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.