Thunder Bay Chiropractic Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

H Issued in MI

Legal business name

THUNDER BAY CHIROPRACTIC CENTER PC

Practice address

2477 US Highway 23 S Ste C
Alpena, MI 49707-4610

Phone

(989) 356-4126

Fax

(989) 354-8715

NPI assigned

Feb 20, 2007

Organization subpart

No

Name

Dr. Richard Emil Chura, D.C.NPI 1306904115

Title

President

Phone

(989) 356-4126

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

• Richard Emil Chura, D.C.

  • Chiropractor
  • Alpena, MI
  • NPI 1306904115
  Medicare reassignment NPD Authorized official
• Thomas Michael Bracken, D.C.

  • Chiropractor
  • Alpena, MI
  • NPI 1063455251
  NPD (past)
• Caren Anne Labrecque

  • Massage Therapist
  • Alpena, MI
  • NPI 1467098467
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831233931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2568 US HIGHWAY 23 S",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497074618",
            "telephone_number": "989-356-4126",
            "fax_number": "989-356-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2477 US HIGHWAY 23 S STE C",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497074610",
            "telephone_number": "989-356-4126",
            "fax_number": "989-354-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUNDER BAY CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2022-07-21",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "CHURA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EMIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-356-4126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP CODE",
            "identifier": "950Z41012",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dan Themel, RPH
• Kelly Sue Thomas, LBSW
• Mary Bialas Thompson, CNP
• Hanna Thorn
• Thomas J Thornton, M.D.
• Thunder Bay Clinic Management Inc
• Thunder Bay Community Health Service, Inc
• Thunder Bay Emergency Physicians PC
• Thunder Bay Eye Care
• Thunder Bay Home Care Services LLC

• All providers in Alpena, MI
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.