Organization Active NPI

Shoreline Chiropractic PLC

Doing business as Anchor Chiropractic & Wellness

  • Chiropractor
  • Norton Shores, MI
National Provider Identifier
1790090082
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008930 Issued in MI
Legal business name
SHORELINE CHIROPRACTIC PLC
Doing business as
Anchor Chiropractic & Wellness
Practice address
3520 Green St
Norton Shores, MI 49444-3812
Phone
(231) 733-1100
Fax
(231) 733-1102
NPI assigned
Aug 11, 2010
Last updated
Aug 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Dr. William Deane Lengkeek, DCNPI 1679777403
Title
Owner
Phone
(231) 733-1100

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 2301008930 MI Primary

Addresses

Primary practice location

3520 Green St
Norton Shores, MI 49444-3812

Mailing address

3520 Green St
Norton Shores, MI 49444-3812
Phone (231) 733-1100

Other names 1

  • Anchor Chiropractic & Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101122000844 MI Part B Supplier - Clinic/Group Practice 4789870387 Receives reassigned benefits from 1 practitioner
Practice locations: Northo Shores, MI

National Provider Directory

National Provider Directory

Locations

3520 Green St
Norton Shores, MI 49444
Phone (231) 733-1100

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": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1790090082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 GREEN ST",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443812",
            "telephone_number": "231-733-1100",
            "fax_number": "231-733-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 GREEN ST",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443812",
            "telephone_number": "231-733-1100",
            "fax_number": "231-733-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE CHIROPRACTIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "LENGKEEK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DEANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-733-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anchor Chiropractic & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norton Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.