Organization Active NPI

Lanjopoulos Chiropractic

  • Chiropractor
  • Grand Ledge, MI
National Provider Identifier
1669784567
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301006722 Issued in MI
Legal business name
LANJOPOULOS CHIROPRACTIC
Practice address
309 E Saginaw Hwy
Grand Ledge, MI 48837-2191
Phone
(517) 627-4547
NPI assigned
Jul 8, 2010
Last updated
Sep 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Dr. Charmaine Joy Lanjopoulos, DCNPI 1215916648
Title
Office Manager
Phone
(517) 627-4547

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 2301006722 MI Primary

Addresses

Primary practice location

309 E Saginaw Hwy
Grand Ledge, MI 48837-2191

Mailing address

P O Box 44
309 E Saginaw Hwy
Grand Ledge, MI 48837
Phone (517) 627-4547

Other identifiers 2

IdentifierTypeStateIssuer
950B35121OtherMIMI BCBS
0B35121OtherMIMEDICARE WPS

Other names 1

  • Raymond Lanjopoulos DC PC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100921001316 MI Part B Supplier - Clinic/Group Practice 9436275930 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Ledge, MI

National Provider Directory

National Provider Directory
Tax ID family
Lanjopoulos Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

309 E Saginaw Hwy
Grand Ledge, MI 48837
Phone (517) 627-4547

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": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1669784567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 44",
            "address_2": "309 E SAGINAW HWY",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "48837",
            "telephone_number": "517-627-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E SAGINAW HWY",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488372191",
            "telephone_number": "517-627-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANJOPOULOS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "LANJOPOULOS",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-627-4547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI BCBS",
            "identifier": "950B35121",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE WPS",
            "identifier": "0B35121",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raymond Lanjopoulos DC PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grand Ledge, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.