Individual provider Active NPI

Gary Lynn Carlini, DOCTOR OF CHIROPRACT

  • Chiropractor
  • Brighton, MI
National Provider Identifier
1821151036
Registry record updated Jun 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301006873 Issued in MI
Practice address
5841 Whitmore Lake Rd
Suite C
Brighton, MI 48116-2470
Phone
(800) 227-3600
Fax
(810) 227-6350
NPI assigned
Dec 18, 2006
Last updated
Jun 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301006873 MI Primary

Addresses

Primary practice location

5841 Whitmore Lake Rd
Suite C
Brighton, MI 48116-2470

Mailing address

10489 Grand River Rd
Ste D
Brighton, MI 48116-6509
Phone (800) 227-3600

Other identifiers 1

IdentifierTypeStateIssuer
950D71260OtherMIBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080701000503 MI Practitioner - Chiropractic 3476625757 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301006873MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
DCG Holdings PLLC Chiropractor CurrentSince Aug 21, 2023 Accepting new patients
Michigan Chiropractic Specialists of Waterford, P.C. Chiropractor PastSince Mar 1, 2023 Accepting new patients

Locations

8336 Hilton Rd
Ste 100
Brighton, MI 48114
Phone (810) 225-2288

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498608000000",
    "number": "1821151036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10489 GRAND RIVER RD",
            "address_2": "STE D",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481166509",
            "telephone_number": "800-227-3600",
            "fax_number": "810-227-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 WHITMORE LAKE RD",
            "address_2": "SUITE C",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162470",
            "telephone_number": "800-227-3600",
            "fax_number": "810-227-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLINI",
        "first_name": "GARY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF CHIROPRACT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2017-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "950D71260",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; 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.