Individual provider Active NPI

Gregory William Logan, D.C.

  • Chiropractor
  • Ann Arbor, MI
National Provider Identifier
1740721646
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
M637080 Issued in MI
Practice address
6276 Jackson Rd Ste K
Ann Arbor, MI 48103-9579
Phone
(734) 660-5869
NPI assigned
Mar 13, 2017
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X M637080 MI Primary

Addresses

Primary practice location

6276 Jackson Rd Ste K
Ann Arbor, MI 48103-9579

Mailing address

6276 Jackson Rd Ste K
Ann Arbor, MI 48103-9579
Phone (734) 660-5869

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170411001097 MI Practitioner - Chiropractic 3476839242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gregory W Logan DCGroup PAC ID 2567748338, 2 clinicians

Practice addresses (Care Compare)

6276 Jackson Rd
Suite K
Ann Arbor, MI 48103-9579
Phone (734) 660-5869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M637080MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory W Logan DC LLC Chiropractor CurrentSince Mar 15, 2017 Accepting new patients

Locations

6276 Jackson Rd
Ste K
Ann Arbor, MI 48103
Phone (734) 660-5869

8110 Jackson Rd
Ste 1
Ann Arbor, MI 48103
Phone (734) 426-0902

Organizations & group practices 1

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": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1740721646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6276 JACKSON RD STE K",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039579",
            "telephone_number": "734-660-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 JACKSON RD STE K",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039579",
            "telephone_number": "734-660-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "GREGORY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-13",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "M637080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.