Organization Active NPI

Freeland Chiropractic Center P.C.

  • Chiropractor
  • Sparta, MI
National Provider Identifier
1811223050
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
GF005619 Issued in MI
Legal business name
FREELAND CHIROPRACTIC CENTER P.C.
Practice address
200 East Division Street
Sparta, MI 49345
Phone
(616) 887-2400
Fax
(616) 887-2740
NPI assigned
Oct 22, 2009
Last updated
Oct 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Authorized official

Name
Mr. George David Freeland, D.C.NPI 1336215953
Title
President
Phone
(616) 887-2400

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
Chiropractor 111N00000X GF005619 MI Primary

Addresses

Primary practice location

200 East Division Street
Sparta, MI 49345

Mailing address

PO Box 116
Sparta, MI 49345
Phone (616) 887-2400

Other identifiers 1

IdentifierTypeStateIssuer
4638330MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120427000404 MI Part B Supplier - Clinic/Group Practice 0345402905 Receives reassigned benefits from 1 practitioner
Practice locations: Sparta, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1811223050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116",
            "city": "SPARTA",
            "state": "MI",
            "postal_code": "49345",
            "telephone_number": "616-887-2400",
            "fax_number": "616-887-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EAST DIVISION STREET",
            "city": "SPARTA",
            "state": "MI",
            "postal_code": "49345",
            "telephone_number": "616-887-2400",
            "fax_number": "616-887-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREELAND CHIROPRACTIC CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "FREELAND",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-887-2400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "GF005619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4638330",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.