Organization Active NPI

Sutherland Family Chiropractic Center Inc

  • Chiropractor
  • Blissfield, MI
National Provider Identifier
1801834288
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
LS004601 Issued in MI
Legal business name
SUTHERLAND FAMILY CHIROPRACTIC CENTER INC
Practice address
120 E Adrian St
D
Blissfield, MI 49228-1254
Phone
(517) 486-3008
Fax
(517) 486-5669
NPI assigned
Jun 4, 2006
Last updated
Mar 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Mrs. Paulette G. Carpenter
Title
Office Manager
Phone
(517) 486-3008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X LS004601 MI Primary

Addresses

Primary practice location

120 E Adrian St
D
Blissfield, MI 49228-1254

Mailing address

120 E. Adrian St
D
Blissfield, MI 49228-1254
Phone (517) 486-3008

Other identifiers 2

IdentifierTypeStateIssuer
04128OtherMIPARAMOUNT
769311OtherMIFIRST HEALTH

National Provider Directory

National Provider Directory

Locations

120 E Adrian St
Apt D
Blissfield, MI 49228
Phone (517) 486-3008

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1801834288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E. ADRIAN ST",
            "address_2": "D",
            "city": "BLISSFIELD",
            "state": "MI",
            "postal_code": "492281254",
            "telephone_number": "517-486-3008",
            "fax_number": "517-486-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E ADRIAN ST",
            "address_2": "D",
            "city": "BLISSFIELD",
            "state": "MI",
            "postal_code": "492281254",
            "telephone_number": "517-486-3008",
            "fax_number": "517-486-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTHERLAND FAMILY CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-486-3008",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "LS004601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "04128",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "769311",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blissfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.