Organization Active NPI

Adam Chiropractic Center

  • Chiropractor
  • Iron Mountain, MI
National Provider Identifier
1679744650
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ADAM CHIROPRACTIC CENTER
Practice address
200 Fairbanks St
S1
Iron Mountain, MI 49801-1510
Phone
(906) 774-5824
Fax
(906) 774-6349
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Authorized official

Name
Dr. Dennis Val Adam, DC
Title
President
Phone
(906) 774-5824

Specialties & licenses 1

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

Addresses

Primary practice location

200 Fairbanks St
S1
Iron Mountain, MI 49801-1510

Mailing address

200 Fairbanks St
S1
Iron Mountain, MI 49801-1510
Phone (906) 774-5824

Other identifiers 2

IdentifierTypeStateIssuer
950B210730OtherMIBLUE SHIELD
1071660MedicaidMI

National Provider Directory

National Provider Directory

Locations

200 Fairbanks St
#S1
Iron Mountain, MI 49801
Phone (906) 774-5824

200 Fairbanks St
Ste 1
Iron Mountain, MI 49801
Phone (906) 774-5824

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1679744650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FAIRBANKS ST",
            "address_2": "S1",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498011510",
            "telephone_number": "906-774-5824",
            "fax_number": "906-774-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FAIRBANKS ST",
            "address_2": "S1",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498011510",
            "telephone_number": "906-774-5824",
            "fax_number": "906-774-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "ADAM",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "VAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-774-5824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "950B210730",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1071660",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron Mountain, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.