Organization Active NPI

Devary Chiropractic Wellness Center

  • Chiropractor
  • Holly, MI
National Provider Identifier
1689770224
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DEVARY CHIROPRACTIC WELLNESS CENTER
Practice address
1121 N Saginaw St
Suite 2
Holly, MI 48442-1380
Phone
(248) 328-9291
Fax
(248) 328-0944
NPI assigned
Sep 14, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Shawn Allan Devary, DCNPI 1346213360
Title
President
Phone
(248) 515-3176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 5

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061116000577 MI Part B Supplier - Clinic/Group Practice 0345248852 Receives reassigned benefits from 1 practitioner
Practice locations: Holly, MI

National Provider Directory

National Provider Directory

Locations

9309 Holly Rd
Grand Blanc, MI 48439
Phone (248) 515-3176

12745 S Saginaw St
Ste 802
Grand Blanc, MI 48439
Phone (810) 953-2225

12745 S Saginaw St
#802
Grand Blanc, MI 48439
Phone (810) 953-2225

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X MI Primary

Addresses

NPPES NPI Registry

Primary practice location

1121 N Saginaw St
Suite 2
Holly, MI 48442-1380

Mailing address

1121 N Saginaw St
Suite 2
Holly, MI 48442-1380
Phone (248) 328-9291

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
950F327630OtherMIBCBSM

Other names 1

NPPES NPI Registry
  • Well Adjusted Chiropractic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689770224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 N SAGINAW ST",
            "address_2": "SUITE 2",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421380",
            "telephone_number": "248-328-9291",
            "fax_number": "248-328-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 N SAGINAW ST",
            "address_2": "SUITE 2",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421380",
            "telephone_number": "248-328-9291",
            "fax_number": "248-328-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVARY CHIROPRACTIC WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DEVARY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-515-3176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950F327630",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Well Adjusted Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holly, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.