Gregg Chiropractic Life Center North P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GREGG CHIROPRACTIC LIFE CENTER NORTH P.C.

Practice address

1079 S Baldwin Rd
Lake Orion, MI 48360-1045

Phone

(248) 391-1600

Fax

(248) 391-1624

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Robert James Gregg, D.C.

Title

President

Phone

(248) 391-1600

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

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

• Christine Kaczmar, DC

  • Chiropractor
  • Shelby Township, MI
  • NPI 1760529606
  NPD (past)
• Jennifer Michelle McCartney, DC

  • Chiropractor
  • Royal Oak, MI
  • NPI 1699076059
  NPD (past)
• George Boghozian, D.C.

  • Chiropractor
  • Bakersfield, CA
  • NPI 1447611421
  NPD (past)
• Tara Feddes, D.C.

  • Chiropractor
  • Olney, IL
  • NPI 1710157144
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700947041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 S BALDWIN RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601045",
            "telephone_number": "248-391-1600",
            "fax_number": "248-391-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 S BALDWIN RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601045",
            "telephone_number": "248-391-1600",
            "fax_number": "248-391-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGG CHIROPRACTIC LIFE CENTER NORTH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREGG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-391-1600",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4935415",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Goulette
• Leandrea Emily Graham-Boyer
• Kelly Ling Graham
• Brad D Greenfield, DDS
• Leah Greer
• Kendra L Griggs
• Kendra Maureen Grow
• Kaycie Grusnick, FNP-C
• Guest House Inc.
• Vincenzo Guglielmetti, M.D.

• Chiropractor in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.