Fully Alive Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

TC009168 Issued in MI

Legal business name

FULLY ALIVE FAMILY CHIROPRACTIC

Practice address

2600 Lincoln Ave Ste a
Saint Joseph, MI 49085

Phone

(269) 556-9654

Fax

(269) 556-9735

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Brook Stewart

Title

Financial Chiropractic Assistant

Phone

(268) 556-9654

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tara Dawn Scharich, DC

  • Chiropractor
  • Saint Joseph, MI
  • NPI 1932145786
  Medicare reassignment

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1801098256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 LINCOLN AVE STE A",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853305",
            "telephone_number": "269-556-9654",
            "fax_number": "269-556-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 LINCOLN AVE STE A",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "49085",
            "telephone_number": "269-556-9654",
            "fax_number": "269-556-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLY ALIVE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "BROOK",
        "authorized_official_title_or_position": "FINANCIAL CHIROPRACTIC ASSISTANT",
        "authorized_official_telephone_number": "268-556-9654"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "TC009168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Henry Frese
• Fresh Perspective Home Care 2 LLC
• Richard W. Frieden, M.D.
• John W Froggatt III, MD
• Deanna Fulbright
• Betsy Fuzi, CNM
• Tyler Joseph Gabrelcik, MD
• Abigayle Zenia Huntley Gama-Sosa
• Courtney Gambino, MS, RD, CDCES
• Narayana Rao Gandham, M.D.

• Chiropractor in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.