Organization Active NPI

Arkfeld Advanced Chiropractic PLLC

  • Chiropractor
  • Gaylord, MI
National Provider Identifier
1780818989
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008243 Issued in MI
Legal business name
ARKFELD ADVANCED CHIROPRACTIC PLLC
Practice address
854 N Center Ave
Suite 3
Gaylord, MI 49735-1686
Phone
(989) 448-8065
Fax
(989) 448-8091
NPI assigned
May 4, 2009
Last updated
Feb 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Dr. Ted Alan Arkfeld, D.C.NPI 1790740181
Title
President
Phone
(989) 448-8065

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
Chiropractor 111N00000X 2301008243 MI Primary

Addresses

Primary practice location

854 N Center Ave
Suite 3
Gaylord, MI 49735-1686

Mailing address

854 N Center Ave
Suite 3
Gaylord, MI 49735-1686
Phone (989) 448-8065

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160606001286 MI Part B Supplier - Clinic/Group Practice 9537459425 Receives reassigned benefits from 1 practitioner
Practice locations: Gaylord, MI

National Provider Directory

National Provider Directory

Locations

854 N Center Ave
Unit 3
Gaylord, MI 49735
Phone (989) 448-8065

Practitioners & affiliated clinicians

Practitioners 1

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": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1780818989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 N CENTER AVE",
            "address_2": "SUITE 3",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351686",
            "telephone_number": "989-448-8065",
            "fax_number": "989-448-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 N CENTER AVE",
            "address_2": "SUITE 3",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351686",
            "telephone_number": "989-448-8065",
            "fax_number": "989-448-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKFELD ADVANCED CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "ARKFELD",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-448-8065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.