NPIMap

Organization Active NPI

Chiropractic Health Center of Rockford

  • Chiropractor
  • Rockford, MI
National Provider Identifier
1710042999
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
SS005877 Issued in MI
Legal business name
CHIROPRACTIC HEALTH CENTER OF ROCKFORD
Practice address
6769 Courtland Dr NE Ste 100
Rockford, MI 49341-7243
Phone
(616) 433-6857
Fax
(616) 863-9486
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Sandra Marie Stanton, DCNPI 1447234745
Title
Owner
Phone
(616) 863-9482

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X SS005877 MI Primary

Addresses

Primary practice location

6769 Courtland Dr NE Ste 100
Rockford, MI 49341-7243

Mailing address

6769 Courtland Dr NE Ste 100
Rockford, MI 49341-7243
Phone (616) 433-6857

Other identifiers 1

IdentifierTypeStateIssuer
951D150510OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • ChiroHealthRockford Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041129000706 MI Part B Supplier - Clinic/Group Practice 5193780401 Receives reassigned benefits from 3 practitioners
Practice locations: Rockford, MI

National Provider Directory

National Provider Directory

Locations

500 Northland Dr NE
Ste 200
Rockford, MI 49341
Phone (616) 863-9482

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1710042999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6769 COURTLAND DR NE STE 100",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417243",
            "telephone_number": "616-433-6857",
            "fax_number": "616-863-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6769 COURTLAND DR NE STE 100",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417243",
            "telephone_number": "616-433-6857",
            "fax_number": "616-863-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH CENTER OF ROCKFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "STANTON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-863-9482",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "SS005877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "951D150510",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChiroHealthRockford",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ChiroHealthRockford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.