Organization Active NPI

Advanced Chiropractic of Dowagiac

Doing business as Health Source of Dowagiac

  • Chiropractor
  • Dowagiac, MI
National Provider Identifier
1770967184
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ADVANCED CHIROPRACTIC OF DOWAGIAC
Doing business as
Health Source of Dowagiac
Practice address
57365 M 51 S
Dowagiac, MI 49047-9766
Phone
(269) 783-1981
NPI assigned
Jul 15, 2015
Last updated
Jul 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Kimberly Stowe
Title
Administrator
Phone
(269) 783-1981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

57365 M 51 S
Dowagiac, MI 49047-9766

Mailing address

PO Box 256
Niles, MI 49120-0256
Phone (269) 783-1981

Other names 1

  • Health Source of Dowagiac Doing business as

National Provider Directory

National Provider Directory

Locations

57365 M 51 S
Dowagiac, MI 49047
Phone (269) 783-1981

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1770967184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 256",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491200256",
            "telephone_number": "269-783-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57365 M 51 S",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490479766",
            "telephone_number": "269-783-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC OF DOWAGIAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "STOWE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "269-783-1981"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Source of Dowagiac",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dowagiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.