Organization Active NPI

Spinal Solutions Chiropractic and Wellness Center PLLC

  • Chiropractor
  • Shelby Township, MI
National Provider Identifier
1730401340
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPINAL SOLUTIONS CHIROPRACTIC AND WELLNESS CENTER PLLC
Practice address
55130 Shelby Rd Ste a
Shelby Township, MI 48316-1176
Phone
(586) 992-6960
Fax
(586) 992-6962
NPI assigned
Feb 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Dr. Stephanie Marie Serenko, D.C.NPI 1689814931
Title
Chiropractor
Phone
(586) 524-1187

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary
Clinic/Center 261Q00000X 2301009477 MI

Addresses

Primary practice location

55130 Shelby Rd Ste a
Shelby Township, MI 48316-1176

Mailing address

55130 Shelby Rd Ste a
Shelby Township, MI 48316-1176
Phone (586) 992-6960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100522000023 MI Part B Supplier - Clinic/Group Practice 8325177785 Receives reassigned benefits from 1 practitioner
Practice locations: Shelby Township, MI

National Provider Directory

National Provider Directory

Locations

8152 25 Mile Rd
Ste E
Shelby Township, MI 48316
Phone (586) 992-6960

55130 Shelby Rd
Ste A
Shelby Township, MI 48316
Phone (586) 992-6960

Practitioners & affiliated clinicians

Practitioners 3

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": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1730401340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55130 SHELBY RD STE A",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483161176",
            "telephone_number": "586-992-6960",
            "fax_number": "586-992-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55130 SHELBY RD STE A",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483161176",
            "telephone_number": "586-992-6960",
            "fax_number": "586-992-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL SOLUTIONS CHIROPRACTIC AND WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "SERENKO",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "586-524-1187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "2301009477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.