St John Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

JG007044 Issued in MI

Legal business name

ST JOHN CHIROPRACTIC CLINIC

Practice address

3020 Richfield Rd
Flint, MI 48506-2472

Phone

(810) 736-2360

Fax

(810) 736-2399

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Scott Green, D.C.

Title

Owner

Phone

(810) 736-2360

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801968250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 RICHFIELD RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485062472",
            "telephone_number": "810-736-2360",
            "fax_number": "810-736-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 RICHFIELD RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485062472",
            "telephone_number": "810-736-2360",
            "fax_number": "810-736-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHN CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-736-2360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "JG007044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3411331",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Srinivas B. Mukkamala. M.D., P.L.C.
• Ranjini Srinivasan, M.D.
• Siva Kumar Sripada, DO
• Ajay Kumar Srivastava, MD
• SSC Flint Operating Company LLC
• Jessica St John, LLBSW, CMHP, QMHP
• Dan St. Aubin, M.D.
• Rebecca St. James, MSW
• Katharine Nicole St. John, B.A., QMHP
• St. Luke N.E.W. Life Center, Inc.

• Chiropractor in Flint, MI
• Providers in Flint, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.