Individual provider Active NPI

Stephanie M Witte-Mason, D.C.

  • Chiropractor
  • West Branch, MI
National Provider Identifier
1790016632
Registry record updated Aug 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009642 Issued in MI
Practice address
2333 S M 76
West Branch, MI 48661
Phone
(989) 345-0010
NPI assigned
Jan 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007264 IA
Chiropractor 111N00000X 2301009642 MI Primary

Addresses

Primary practice location

2333 S M 76
West Branch, MI 48661

Mailing address

2333 S M 76
West Branch, MI 48661-9380
Phone (989) 345-0010

Other practice location 1

2268 S M 76
West Branch, MI 48661-8700
Phone (989) 345-0010

Other practice location 2

2268 S M 76
West Branch, MI 48661-8700
Phone (989) 345-0010

Other practice location 3

5683 M 30
Alger, MI 48610
Phone (989) 889-4645

Other names 1

  • Stephanie Marie Witte Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007264IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nikki Leclair Chiropractor Past Accepting new patients
Chadwell Family Chiropractic Chiropractor Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533945600000",
    "number": "1790016632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 S M 76",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619380",
            "telephone_number": "989-345-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 S M 76",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "48661",
            "telephone_number": "989-345-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2268 S M 76",
            "address_purpose": "LOCATION",
            "city": "West Branch",
            "state": "MI",
            "postal_code": "486618700",
            "country_code": "US",
            "telephone_number": "989-345-0010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2268 S M 76",
            "address_purpose": "LOCATION",
            "city": "West Branch",
            "state": "MI",
            "postal_code": "486618700",
            "country_code": "US",
            "telephone_number": "989-345-0010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5683 M 30",
            "address_purpose": "LOCATION",
            "city": "Alger",
            "state": "MI",
            "postal_code": "48610",
            "country_code": "US",
            "telephone_number": "989-889-4645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTE-MASON",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-15",
        "last_updated": "2018-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007264",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "WITTE",
            "middle_name": "MARIE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Branch, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2018; 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.