Organization Active NPI

Gregory W Logan DC LLC

  • Chiropractor
  • Ann Arbor, MI
National Provider Identifier
1801337399
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010543 Issued in MI
Legal business name
GREGORY W LOGAN DC LLC
Practice address
6276 Jackson Rd Ste K
Ann Arbor, MI 48103-9579
Phone
(734) 660-5869
NPI assigned
Mar 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Dr. Gregory William Logan, DCNPI 1740721646
Title
Owner
Phone
(734) 660-5869

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 2301010543 MI Primary

Addresses

Primary practice location

6276 Jackson Rd Ste K
Ann Arbor, MI 48103-9579

Mailing address

6276 Jackson Rd Ste K
Ann Arbor, MI 48103-9579
Phone (734) 660-5869

Other names 1

  • Logan Chiropractic Ann Arbor Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170410001182 MI Part B Supplier - Clinic/Group Practice 2567748338 Receives reassigned benefits from 2 practitioners
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Locations

8110 Jackson Rd
Ste 1
Ann Arbor, MI 48103
Phone (734) 426-0902

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1801337399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6276 JACKSON RD STE K",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039579",
            "telephone_number": "734-660-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 JACKSON RD STE K",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039579",
            "telephone_number": "734-660-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY W LOGAN DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-660-5869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Logan Chiropractic Ann Arbor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.