NPIMap

Organization Active NPI

Whole Health Regenerative Medicine, PC

  • Family Medicine Physician
  • Traverse City, MI
National Provider Identifier
1821749805
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WHOLE HEALTH REGENERATIVE MEDICINE, PC
Practice address
3639 Cass Rd
Traverse City, MI 49684-9153
Phone
(231) 943-2100
Fax
(231) 766-6161
NPI assigned
Jan 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Dr. Christopher A Moran, DCNPI 1295763019
Title
Clinic Manager
Phone
(231) 943-2100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3639 Cass Rd
Traverse City, MI 49684-9153

Mailing address

PO Box 1447
Traverse City, MI 49685-1447
Phone (231) 943-2100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1821749805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1447",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496851447",
            "telephone_number": "231-943-2100",
            "fax_number": "231-766-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3639 CASS RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849153",
            "telephone_number": "231-943-2100",
            "fax_number": "231-766-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE HEALTH REGENERATIVE MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "231-943-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.