Clinton Merl Chadwell Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009214 Issued in MI

Practice address

537 N Clippert St
Lansing, MI 48912-4740

Phone

(517) 336-8880

Fax

(517) 203-2092

NPI assigned

Apr 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chadwell Family Chiropractic

  • Chiropractor
  • Tawas City, MI
  • NPI 1649535006
  NPD (past) Authorized official
• Nikki Leclair

  • Chiropractor
  • Tawas City, MI
  • NPI 1548651086
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1780704684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 N CLIPPERT ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124740",
            "telephone_number": "517-336-8880",
            "fax_number": "517-203-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 N CLIPPERT ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124740",
            "telephone_number": "517-336-8880",
            "fax_number": "517-203-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADWELL",
        "first_name": "CLINTON",
        "middle_name": "MERL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "95-0-B4-1105-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Pharmacy - Westside LLC
• Central Pharmacy - Westside LLC
• Central Pharmacy Mt Hope LLC
• David Cervi, D.O., PH.D.
• Gary L Cesar, DPM
• Kevin Chadwick, CRNA
• Sumita Chakravarty, RN
• Felix Alberto Chalu, NP-C
• Christine E Chambers, MSW
• Lauren Chambers, LLMSW

• Chiropractor in Lansing, MI
• Providers in Lansing, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.