Organization Active NPI

North Main Chiropractic Wellness Center P.L.L.C

  • Clinic/Center
  • Adrian, MI
National Provider Identifier
1700261195
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2301010251 Issued in MI
Legal business name
NORTH MAIN CHIROPRACTIC WELLNESS CENTER P.L.L.C
Practice address
231 N Main St
Adrian, MI 49221-2712
Phone
(517) 265-3444
Fax
(517) 265-3445
NPI assigned
Jul 27, 2015
Last updated
Aug 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Authorized official

Name
Dr. Fred Morton Hauch Jr., D.C
Title
Owner
Phone
(517) 403-1307

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301010251 MI
Clinic/Center 261Q00000X 2301010251 MI Primary

Addresses

Primary practice location

231 N Main St
Adrian, MI 49221-2712

Mailing address

PO Box 713
Adrian, MI 49221-0713
Phone (517) 265-3444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150819007803 MI Part B Supplier - Clinic/Group Practice 7517272537 Receives reassigned benefits from 2 practitioners
Practice locations: Adrian, MI

National Provider Directory

National Provider Directory

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": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1700261195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492210713",
            "telephone_number": "517-265-3444",
            "fax_number": "517-265-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N MAIN ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212712",
            "telephone_number": "517-265-3444",
            "fax_number": "517-265-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MAIN CHIROPRACTIC WELLNESS CENTER P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "HAUCH",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "MORTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-403-1307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010251",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "2301010251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.