NPIMap

Organization Active NPI

Craft Chiropractic Center PC

  • Chiropractor
  • Charlotte, MI
National Provider Identifier
1700849379
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CRAFT CHIROPRACTIC CENTER PC
Practice address
223 Lansing St
Charlotte, MI 48813-1605
Phone
(517) 543-1115
Fax
(517) 543-3290
NPI assigned
Apr 6, 2006
Last updated
Dec 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Dennis Ray Craft, DCNPI 1174586259
Title
Owner/President
Phone
(517) 543-1115

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

223 Lansing St
Charlotte, MI 48813-1605

Mailing address

PO Box 236
Charlotte, MI 48813-0236
Phone (517) 543-1115

Other identifiers 1

IdentifierTypeStateIssuer
0B31023OtherMIBCBS OF MICHIGAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040528000845 MI Part B Supplier - Clinic/Group Practice 3274514799 Receives reassigned benefits from 5 practitioners
6 other NPIs on this enrollment
Practice locations: Charlotte, MI; Grand Ledge, MI; Marshall, MI; Middleville, MI

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Craft Chiropractic Center PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1700849379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488130236",
            "telephone_number": "517-543-1115",
            "fax_number": "517-543-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 LANSING ST",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131605",
            "telephone_number": "517-543-1115",
            "fax_number": "517-543-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAFT CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "CRAFT",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "517-543-1115",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "0B31023",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.