Mainstreet Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007428 Issued in MI

Legal business name

MAINSTREET CHIROPRACTIC LLC

Practice address

96 NB Gratiot Ave
Suite 100
Mount Clemens, MI 48043-2349

Phone

(586) 465-6111

Fax

(586) 465-6100

NPI assigned

Mar 1, 2007

Last updated

Sep 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stacy L Corrado, DCNPI 1548330806

Title

President

Phone

(586) 465-6111

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacy L Corrado, D.C.

  • Chiropractor
  • Clinton TWP, MI
  • NPI 1548330806
  Authorized official Same address or phone
• Chris Patrick Winn, D.C.

  • Chiropractor
  • Mount Clemens, MI
  • NPI 1073591319
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1811025794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 NB GRATIOT AVE",
            "address_2": "SUITE 100",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432349",
            "telephone_number": "586-465-6111",
            "fax_number": "586-465-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 NB GRATIOT AVE",
            "address_2": "SUITE 100",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432349",
            "telephone_number": "586-465-6111",
            "fax_number": "586-465-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREET CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "CORRADO",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-465-6111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macomb Residential Opportunities, Inc.
• Adriene Maddox, LLMSW
• Lisa Mader, MSW
• Sameera Mahesh Mahimkar
• Paul A Mailloux, CRNA
• Venkateswara Rao Malineni, MD
• Kimberly Lauren Mamo-Rennert
• Ramandeep Mand, M.D.
• Vasudevarao Mandava, M.D
• Boitshoko Marang, M.D

• Chiropractor in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.