NPIMap

Organization Active NPI

Advanced Chiropractic of Midland P.C.

Doing business as Advanced Chiropractic

  • Chiropractor
  • Midland, MI
National Provider Identifier
1821022070
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ADVANCED CHIROPRACTIC OF MIDLAND P.C.
Doing business as
Advanced Chiropractic
Practice address
212 W Wackerly St
Suite B
Midland, MI 48640-3000
Phone
(989) 837-5998
Fax
(989) 835-9632
NPI assigned
Jul 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rodney Vance Nagel, D.C.
Title
Owner
Phone
(989) 837-5998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

212 W Wackerly St
Suite B
Midland, MI 48640-3000

Mailing address

212 W Wackerly St
Suite B
Midland, MI 48640-3000
Phone (989) 837-5998

Other names 1

  • Advanced Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050107000648 MI Part B Supplier - Clinic/Group Practice 4981652740 Receives reassigned benefits from 2 practitioners
Practice locations: Midland, MI

National Provider Directory

National Provider Directory

Locations

212 W Wackerly St
Ste B
Midland, MI 48640
Phone (989) 835-9180

214 W Wackerly St
Ste 100
Midland, MI 48640
Phone (989) 837-5997

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821022070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W WACKERLY ST",
            "address_2": "SUITE B",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486403000",
            "telephone_number": "989-837-5998",
            "fax_number": "989-835-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W WACKERLY ST",
            "address_2": "SUITE B",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486403000",
            "telephone_number": "989-837-5998",
            "fax_number": "989-835-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC OF MIDLAND P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAGEL",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "VANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-837-5998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

  • 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.
  • 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.