Centerline Chiropractic Life Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

763 Issued in MI

Legal business name

CENTERLINE CHIROPRACTIC LIFE CENTER PC

Practice address

28880 24 Mile Rd
Chesterfield, MI 48051-1605

Phone

(586) 756-7671

Fax

(586) 690-8871

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Kelly Renee Nugara

Title

Insurance Biller

Phone

(586) 756-7671

Specialties & licenses 1

Addresses

Other names 1

• spinal rehab associates Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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

• Mark Manteuffel, D.C.

  • Chiropractor
  • Center Line, MI
  • NPI 1366475212
  Medicare reassignment Care Compare group NPD
• Ronald J Manteuffel, D.C.

  • Chiropractor
  • Center Line, MI
  • NPI 1295764041
  Medicare reassignment Care Compare group NPD
• Mark Wrobel, D.C.

  • Chiropractor
  • Center Line, MI
  • NPI 1508899444
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1689774564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28880 24 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480511605",
            "telephone_number": "586-756-7671",
            "fax_number": "586-690-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28880 24 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480511605",
            "telephone_number": "586-756-7671",
            "fax_number": "586-690-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERLINE CHIROPRACTIC LIFE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "NUGARA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "INSURANCE BILLER",
        "authorized_official_telephone_number": "586-756-7671"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "spinal rehab associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juliana Cassidy
• Allison Caughel
• Cheryl Ann Caverly, LBSW
• Nancy Ann Ceglarek, LMSW
• Michael Cemazar
• Aya Chahine
• Megan Chambers
• Sydney Champion-Kidd
• Shawanda Chaney
• Kayla Chapman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.