NPIMap

Organization Active NPI

Rodnick Chiropractic Consultants PC

  • Chiropractor
  • Midland, MI
National Provider Identifier
1730290891
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
M12301004924 Issued in MI
Legal business name
RODNICK CHIROPRACTIC CONSULTANTS PC
Practice address
4604 N Saginaw Rd
Suite a
Midland, MI 48640-2387
Phone
(989) 631-7246
Fax
(989) 832-1631
NPI assigned
Aug 31, 2006
Last updated
Jan 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Corey B Rodnick, D.C.; B.S.; PH.D.NPI 1891808614
Title
Owner; Chiropractor
Phone
(989) 631-7246

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 MULTIPLE SINGLE SPECIALTY GROUP 111N00000X M12301004924 MI Primary

Addresses

Primary practice location

4604 N Saginaw Rd
Suite a
Midland, MI 48640-2387

Mailing address

4604 N Saginaw Rd
Suite a
Midland, MI 48640-2387
Phone (989) 631-7246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040308001154 MI Part B Supplier - Clinic/Group Practice 7315835659 Receives reassigned benefits from 5 practitioners
Practice locations: Midland, MI; Saginaw, MI

National Provider Directory

National Provider Directory

Locations

4604 N Saginaw Rd
Ste A
Midland, MI 48640
Phone (989) 631-7246

6165 Bay Rd
Saginaw, MI 48604
Phone (989) 792-7246

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1730290891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 N SAGINAW RD",
            "address_2": "SUITE A",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402387",
            "telephone_number": "989-631-7246",
            "fax_number": "989-832-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 N SAGINAW RD",
            "address_2": "SUITE A",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402387",
            "telephone_number": "989-631-7246",
            "fax_number": "989-832-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNICK CHIROPRACTIC CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "RODNICK",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER; CHIROPRACTOR",
        "authorized_official_telephone_number": "989-631-7246",
        "authorized_official_credential": "D.C.; B.S.; PH.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "M12301004924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.