Individual provider Active NPI

Mallory Lynnette Powell-Wilkins, D.C.

  • Chiropractor
  • Lapeer, MI
National Provider Identifier
1710226006
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009763 Issued in MI
Practice address
520 Imlay City Rd
Lapeer, MI 48446-3178
Phone
(810) 664-4741
Fax
(810) 664-2380
NPI assigned
Feb 6, 2013
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009763 MI Primary

Addresses

Primary practice location

520 Imlay City Rd
Lapeer, MI 48446-3178

Mailing address

4509 Downing St
Cass City, MI 48726-1101
Phone (989) 798-4225

Other practice location 1

4509 Downing St
Cass City, MI 48726-1101
Phone (989) 798-4225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130315000026 MI Practitioner - Chiropractic 2567607823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3257 Davison Rd
Suite 101
Lapeer, MI 48446-2581
Phone (810) 664-4741

4509 Downing St
Cass City, MI 48726-1101
Phone (989) 798-4225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009763MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Caro Chiropractic PC Chiropractor CurrentSince Apr 22, 2021 Accepting new patients
Wellness Within Chiropractic PLLC Chiropractor CurrentSince Aug 6, 2019 Accepting new patients
Carroll Chiropractic Inc Chiropractor PastSince Jul 1, 2006 Accepting new patients
Carroll Chiropractic, Inc Chiropractor Past Accepting new patients
Stanley S. Roland, D.O., P.C. Past Accepting new patients

Locations

758 N State St
Caro, MI 48723
Phone (989) 672-4141

4509 Downing St
Cass City, MI 48726
Phone (989) 798-4225

3257 Davison Rd
Ste 101
Lapeer, MI 48446
Phone (810) 664-4741

520 Imlay City Rd
Lapeer, MI 48446
Phone (810) 664-4741

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1710226006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 DOWNING ST",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261101",
            "telephone_number": "989-798-4225",
            "fax_number": "810-664-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 IMLAY CITY RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463178",
            "telephone_number": "810-664-4741",
            "fax_number": "810-664-2380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4509 Downing St",
            "address_purpose": "LOCATION",
            "city": "Cass City",
            "state": "MI",
            "postal_code": "487261101",
            "country_code": "US",
            "telephone_number": "989-798-4225",
            "fax_number": "810-664-2380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL-WILKINS",
        "first_name": "MALLORY",
        "middle_name": "LYNNETTE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.