NPIMap

Organization Active NPI

New Boston Chiropractic Life Center, Corporation

Doing business as Tecumseh Neck and Back Family Chiropractic, Inc.

  • Chiropractor
  • Tecumseh, MI
National Provider Identifier
1811196272
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008358 Issued in MI
Legal business name
NEW BOSTON CHIROPRACTIC LIFE CENTER, CORPORATION
Doing business as
Tecumseh Neck and Back Family Chiropractic, Inc.
Practice address
405 E Chicago Blvd
Tecumseh, MI 49286-1513
Phone
(517) 423-2639
Fax
(517) 423-0639
NPI assigned
Jul 16, 2007
Last updated
Mar 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Authorized official

Name
Dr. Gregory Kim McFarland Jr., D.C.NPI 1780680959
Title
Doctor of Chiropractic/ President
Phone
(517) 423-2639

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
Chiropractor 111N00000X 2301008358 MI Primary

Addresses

Primary practice location

405 E Chicago Blvd
Tecumseh, MI 49286-1513

Mailing address

405 E Chicago Blvd
Tecumseh, MI 49286-1513
Phone (517) 423-2639

Other identifiers 2

IdentifierTypeStateIssuer
P11040001OtherMIMEDICARE
95-0D60102-0OtherMIBLUE CROSS GROUP

Other names 1

  • Tecumseh Neck and Back Family Chiropractic, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050225000308 MI Part B Supplier - Clinic/Group Practice 0547213951 Receives reassigned benefits from 1 practitioner
Practice locations: Tecumseh, MI

National Provider Directory

National Provider Directory

Locations

17901 Huron River Dr
Ste 102
New Boston, MI 48164
Phone (734) 753-9460

405 E Chicago Blvd
Tecumseh, MI 49286
Phone (517) 423-2639

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1811196272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E CHICAGO BLVD",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492861513",
            "telephone_number": "517-423-2639",
            "fax_number": "517-423-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E CHICAGO BLVD",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492861513",
            "telephone_number": "517-423-2639",
            "fax_number": "517-423-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BOSTON CHIROPRACTIC LIFE CENTER, CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "MCFARLAND",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/ PRESIDENT",
        "authorized_official_telephone_number": "517-423-2639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "P11040001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP",
            "identifier": "95-0D60102-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tecumseh Neck and Back Family Chiropractic, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tecumseh, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.