Organization Active NPI

Gateway Chiropractic, PC

  • Chiropractor
  • Monroe, MI
National Provider Identifier
1760508246
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007967 Issued in MI
Legal business name
GATEWAY CHIROPRACTIC, PC
Practice address
14930 Laplaisance Rd Ste 134
Monroe, MI 48161-3898
Phone
(734) 242-4422
Fax
(734) 242-6774
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel Greener, DCNPI 1295763621
Title
President
Phone
(734) 242-4422

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 SINGLE SPECIALTY GROUP 111N00000X 2301007967 MI Primary

Addresses

Primary practice location

14930 Laplaisance Rd Ste 134
Monroe, MI 48161-3898

Mailing address

14930 Laplaisance Rd Ste 134
Monroe, MI 48161-3898
Phone (734) 242-4422

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060427000228 MI Part B Supplier - Clinic/Group Practice 4183634728 Receives reassigned benefits from 2 practitioners
Practice locations: Monroe, MI

National Provider Directory

National Provider Directory

Locations

14930 Laplaisance Rd
Monroe, MI 48161
Phone (734) 241-0180

14930 Laplaisance Rd
Ste 134
Monroe, MI 48161
Phone (724) 242-4422

Practitioners & affiliated clinicians

Practitioners 4

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760508246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14930 LAPLAISANCE RD STE 134",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481613898",
            "telephone_number": "734-242-4422",
            "fax_number": "734-242-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14930 LAPLAISANCE RD STE 134",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481613898",
            "telephone_number": "734-242-4422",
            "fax_number": "734-242-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-242-4422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.