NPIMap

Organization Active NPI

Leelanau Family Chiropractic Inc

  • Chiropractor
  • Lake Leelanau, MI
National Provider Identifier
1821231200
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004944 Issued in MI
Legal business name
LEELANAU FAMILY CHIROPRACTIC INC
Practice address
208 W Main St
Lake Leelanau, MI 49653-5104
Phone
(231) 256-2500
Fax
(231) 256-2575
NPI assigned
Apr 14, 2009
Last updated
Apr 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Marie Genna Parent, D.C.NPI 1366407629
Title
Owner
Phone
(231) 256-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301004944 MI Primary

Addresses

Primary practice location

208 W Main St
Lake Leelanau, MI 49653-5104

Mailing address

PO Box 224
Lake Leelanau, MI 49653-0224
Phone (231) 256-2500

Other identifiers 1

IdentifierTypeStateIssuer
0D55002OtherMIMEDICARE IDENTIFICATION NUMBER

Other names 1

  • Leelanau Family Chiropractors Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1821231200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 224",
            "city": "LAKE LEELANAU",
            "state": "MI",
            "postal_code": "496530224",
            "telephone_number": "231-256-2500",
            "fax_number": "231-256-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W MAIN ST",
            "city": "LAKE LEELANAU",
            "state": "MI",
            "postal_code": "496535104",
            "telephone_number": "231-256-2500",
            "fax_number": "231-256-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEELANAU FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "GENNA PARENT",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-256-2500",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NUMBER",
            "identifier": "0D55002",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leelanau Family Chiropractors",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lake Leelanau, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.