Legacy Family Chiropractic & Wellness PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LEGACY FAMILY CHIROPRACTIC & WELLNESS PLLC

Practice address

547 N Pontiac TRL
Walled Lake, MI 48390-3442

Phone

(248) 560-7971

NPI assigned

Jan 20, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Nikola Andreev, DCNPI 1194305573

Title

Owner

Phone

(248) 560-7971

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Nikola Andreev, DC

  • Chiropractor
  • Walled Lake, MI
  • NPI 1194305573
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1750033767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 N PONTIAC TRL",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903442",
            "telephone_number": "248-560-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 N PONTIAC TRL",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903442",
            "telephone_number": "248-560-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY FAMILY CHIROPRACTIC & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "ANDREEV",
        "authorized_official_first_name": "NIKOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-560-7971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Remington Krause
• Kourtney Laird
• Lakes Area Foot and Ankle Care, PLLC
• Sabrina Lynn Lanker
• Kevin Robert Lee, D.C.
• Amanda Elise Lesnick, LMSW
• Michael Lett, LPN
• Michael J Lipson, OD
• Hillary Little, NP-C
• Diane Lonnerstater

• Chiropractor in Walled Lake, MI
• Providers in Walled Lake, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.