Organization Active NPI

Wanamaker Chiropractic

  • Chiropractor
  • Grand Blanc, MI
National Provider Identifier
1669648846
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WANAMAKER CHIROPRACTIC
Practice address
12765 S Saginaw St Ste 403
Grand Blanc, MI 48439-2450
Phone
(810) 695-9864
Fax
(810) 695-1071
NPI assigned
May 7, 2008
Last updated
May 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Dr. Gary Wanamaker, D.C.
Title
Doctor
Phone
(810) 694-9864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

12765 S Saginaw St Ste 403
Grand Blanc, MI 48439-2450

Mailing address

12765 S Saginaw St Ste 403
Grand Blanc, MI 48439-2450
Phone (810) 695-9864

National Provider Directory

National Provider Directory

Locations

12765 S Saginaw St
Ste 403
Grand Blanc, MI 48439
Phone (810) 695-9864

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1669648846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12765 S SAGINAW ST STE 403",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392450",
            "telephone_number": "810-695-9864",
            "fax_number": "810-695-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12765 S SAGINAW ST STE 403",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392450",
            "telephone_number": "810-695-9864",
            "fax_number": "810-695-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANAMAKER CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "WANAMAKER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "810-694-9864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.