Monarch Family Chiropractic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MONARCH FAMILY CHIROPRACTIC LLC

Practice address

306 Main St
East Jordan, MI 49727-5127

Phone

(231) 675-0733

NPI assigned

Jan 16, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Martina Peterson, DCNPI 1033683677

Title

Owner

Phone

(231) 675-0733

Specialties & licenses 1

Addresses

Other names 1

• Monarch Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 4

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

• Martina Peterson, DC

  • Chiropractor
  • East Jordan, MI
  • NPI 1033683677
  Medicare reassignment NPD Authorized official
• William F Jerome, D.D.S, M.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Charlevoix, MI
  • NPI 1689848004
  NPD (past)
• James J Osetek, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Petoskey, MI
  • NPI 1003892944
  NPD (past)
• Richard James Bakeman, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Augusta, GA
  • NPI 1790717452
  NPD (past)

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1831663475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 493",
            "city": "EAST JORDAN",
            "state": "MI",
            "postal_code": "497270493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 MAIN ST",
            "city": "EAST JORDAN",
            "state": "MI",
            "postal_code": "497275127",
            "telephone_number": "231-675-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MARTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-675-0733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monarch Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nakita Lee Marihugh
• Richard L Mason, PHARMD
• Ryan P McConnell, DO
• Jay McCulloch, RPH
• Amelia McGeorge
• Munson Healthcare Charlevoix Hospital
• Nicole Nichols, PT, DPT
• Northern Healthcare PLLC
• Keith David Nowak, PHARM. D.
• Kristina K Nowka, AT, PTA

• Clinic/Center in East Jordan, MI
• Providers in East Jordan, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.