Van Born Chiropractic Clinic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VAN BORN CHIROPRACTIC CLINIC, P.C.

Practice address

23610 Van Born Rd
Dearborn Heights, MI 48125-2356

Phone

(313) 291-1060

Fax

(313) 291-1089

NPI assigned

May 8, 2006

Last updated

Feb 5, 2024By 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

Renee Irene Pethtel, D.C.NPI 1760431977

Title

President

Phone

(313) 291-1060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

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.

• Renee Irene Pethtel, D.C.

  • Chiropractor
  • Dearborn Heights, MI
  • NPI 1760431977
  Medicare reassignment Care Compare group NPD Authorized official
• Donald George Pethtel, D.C.

  • Chiropractor
  • Dearborn Heights, MI
  • NPI 1851340814
  Medicare reassignment Care Compare group NPD
• Linda A Blake, D.C.

  • Chiropractor
  • Shelby Township, MI
  • NPI 1043260961
  NPD (past)
• David Scott Kesler, D.C.

  • Chiropractor
  • Birmingham, MI
  • NPI 1942369541
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1821047861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23610 VAN BORN RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252356",
            "telephone_number": "313-291-1060",
            "fax_number": "313-291-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23610 VAN BORN RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252356",
            "telephone_number": "313-291-1060",
            "fax_number": "313-291-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN BORN CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "PETHTEL",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-291-1060",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uop Urgent Care PLLC
• Uop Urgent Care PLLC
• Charise Lanette Valentine, M.D.
• Nicole Valentine, LMSW
• Value Plus RX
• Van Born Pharmacy Inc
• Alma Varela
• Peter Armenio Vasquez, M.D.
• William D Vecchioni, DC
• Araceli Ruby Vega

• Chiropractor in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.