Big Creek Chiropractic & Nutrition PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007597 Issued in MI

Legal business name

BIG CREEK CHIROPRACTIC & NUTRITION PLLC

Practice address

2172 Deeter Rd
Luzerne, MI 48636-9775

Phone

(989) 889-1477

Fax

(989) 333-5900

NPI assigned

Jul 22, 2013

Last updated

Nov 8, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

BIG CREEK CHIROPRACTIC & NUTRITION PLLCAs reported in NPPES

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

Authorized official

Name

Gregory Thomas Thornton, DCNPI 1487756987

Title

Member

Phone

(989) 889-1477

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Center Of Natural Therapies Former legal business name
• Big Creek Chiropractic & Nutrition Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Part of

Big Creek Chiropractic Nut

Locations

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.

• Gregory Thomas Thornton, D.C.

  • Nutrition Chiropractor
  • Fraser, MI
  • NPI 1487756987
  Medicare reassignment Authorized official
• Nathaniel Scott Weiss

  • Chiropractor
  • Luzerne, MI
  • NPI 1306359708
  NPD (past)

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1700228608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2172 DEETER RD",
            "city": "LUZERNE",
            "state": "MI",
            "postal_code": "486369775",
            "telephone_number": "989-889-1477",
            "fax_number": "989-333-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2172 DEETER RD",
            "city": "LUZERNE",
            "state": "MI",
            "postal_code": "486369775",
            "telephone_number": "989-889-1477",
            "fax_number": "989-333-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG CREEK CHIROPRACTIC & NUTRITION PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIG CREEK CHIROPRACTIC & NUTRITION PLLC",
        "enumeration_date": "2013-07-22",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "989-889-1477",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1487756987",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center Of Natural Therapies",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Big Creek Chiropractic & Nutrition",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brian James Kinyon, LMSW, LCAADC
• Nathaniel Scott Weiss

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.