Iliff Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009262 Issued in MI

Legal business name

ILIFF CHIROPRACTIC

Practice address

2560 S Cleveland Ave
Ste 4
Saint Joseph, MI 49085-2640

Phone

(269) 983-1800

Fax

(269) 983-1801

NPI assigned

Apr 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Iliff, D.C.NPI 1386848745

Title

President, Ceo

Phone

(269) 861-4499

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Daniel A Iliff, DC

  • Chiropractor
  • Coloma, MI
  • NPI 1386848745
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1770840910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 S CLEVELAND AVE",
            "address_2": "STE 4",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852640",
            "telephone_number": "269-983-1800",
            "fax_number": "269-983-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 S CLEVELAND AVE",
            "address_2": "STE 4",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852640",
            "telephone_number": "269-983-1800",
            "fax_number": "269-983-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILIFF CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "ILIFF",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "269-861-4499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770840910",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marla Hutchinson, MSW
• Kristi Lynn Huttenga, R.PH.
• Matthew Konen Hysell, M.D.
• Roman Hyszczak, MD
• Allyse Marie Ide, TLLP
• Initium Physical Therapy and Sports Performance LLC
• Innovative Senior Care Home Health of Holland LLC
• Amena Iqbal
• Kevin Rojeh Ismair, D.O.
• Kaitlyn Jackson

• All providers in Saint Joseph, MI
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.