Organization Active NPI

Manchester Family Chiropractic Center PLC

  • Chiropractor
  • Jackson, MI
National Provider Identifier
1790029874
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
201008155 Issued in MI
Legal business name
MANCHESTER FAMILY CHIROPRACTIC CENTER PLC
Practice address
3634 McCain Rd
Unit 7
Jackson, MI 49203-2576
Phone
(517) 962-2178
Fax
(517) 962-2399
NPI assigned
Nov 15, 2012
Last updated
Jul 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Dr. Scott M Manchester, D.CNPI 1720165095
Title
Owner
Phone
(517) 962-2178

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 201008155 MI Primary

Addresses

Primary practice location

3634 McCain Rd
Unit 7
Jackson, MI 49203-2576

Mailing address

3634 McCain Rd
Unit 7
Jackson, MI 49203-2576
Phone (517) 962-2178

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130426000336 MI Part B Supplier - Clinic/Group Practice 6305082967 Receives reassigned benefits from 2 practitioners
Practice locations: Jackson, MI

National Provider Directory

National Provider Directory

Locations

3634 McCain Rd
Ste 7
Jackson, MI 49203
Phone (517) 962-2178

Practitioners & affiliated clinicians

Practitioners 2

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": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1790029874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3634 MCCAIN RD",
            "address_2": "UNIT 7",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492032576",
            "telephone_number": "517-962-2178",
            "fax_number": "517-962-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 MCCAIN RD",
            "address_2": "UNIT 7",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492032576",
            "telephone_number": "517-962-2178",
            "fax_number": "517-962-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER FAMILY CHIROPRACTIC CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "MANCHESTER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-962-2178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "201008155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.