Individual provider Active NPI

Alyssa Sollenberger, D.C.

  • Chiropractor
  • Marshall, MI
National Provider Identifier
1801168083
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009923 Issued in MI
Practice address
125 Redfield PLZ
Marshall, MI 49068-1466
Phone
(269) 781-7549
Fax
(269) 781-4579
NPI assigned
Feb 2, 2012
Last updated
Feb 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009923 MI Primary

Addresses

Primary practice location

125 Redfield PLZ
Marshall, MI 49068-1466

Mailing address

PO Box 735
Marshall, MI 49068-0735
Phone (269) 781-7549

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200221001755 CA Practitioner - Chiropractic 0648430454 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Roger Anderson DC Inc. Chiropractor CurrentSince Dec 28, 2019 Accepting new patients
Craft Chiropractic Center PC Chiropractor Past Accepting new patients
Craft Chiropractic Center PC Chiropractor Past Accepting new patients

Locations

300 E 1st St
Oxnard, CA 93030
Phone (805) 486-8311

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1801168083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490680735",
            "telephone_number": "269-781-7549",
            "fax_number": "269-781-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 REDFIELD PLZ",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681466",
            "telephone_number": "269-781-7549",
            "fax_number": "269-781-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLLENBERGER",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.