Organization Active NPI

Byrne Chiropractic LLC

  • Chiropractor
  • Rockford, MI
National Provider Identifier
1780729798
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008116 Issued in MI
Legal business name
BYRNE CHIROPRACTIC LLC
Practice address
355 Northland Dr NE Ste a
Rockford, MI 49341-1418
Phone
(616) 866-6083
Fax
(616) 863-9237
NPI assigned
Feb 20, 2007
Last updated
Mar 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Dr. Stephen William Byrne, D.C.
Title
Member
Phone
(616) 866-6083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301008116 MI Primary

Addresses

Primary practice location

355 Northland Dr NE Ste a
Rockford, MI 49341-1418

Mailing address

355 Northland Dr NE Ste a
Rockford, MI 49341-1418
Phone (616) 866-6083

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070222000414 MI Part B Supplier - Clinic/Group Practice 7315049350 Receives reassigned benefits from 3 practitioners
Practice locations: Rockford, MI

National Provider Directory

National Provider Directory

Locations

355 Northland Dr NE
Rockford, MI 49341
Phone (616) 866-6083

355 Northland Dr NE
Ste A
Rockford, MI 49341
Phone (616) 866-6083

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1780729798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 NORTHLAND DR NE STE A",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411418",
            "telephone_number": "616-866-6083",
            "fax_number": "616-863-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 NORTHLAND DR NE STE A",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411418",
            "telephone_number": "616-866-6083",
            "fax_number": "616-863-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRNE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "616-866-6083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.