Organization Active NPI

Gateway Family Chiropractic, PC

  • Chiropractor
  • Frankfort, MI
National Provider Identifier
1841235694
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301006813 Issued in MI
Legal business name
GATEWAY FAMILY CHIROPRACTIC, PC
Practice address
52 Palcich Rd
Frankfort, MI 49635-9602
Phone
(231) 352-4447
Fax
(231) 325-2279
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Darren R Lacharite, DCNPI 1437198926
Title
President
Phone
(231) 352-4447

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301006813 MI Primary

Addresses

Primary practice location

52 Palcich Rd
Frankfort, MI 49635-9602

Mailing address

52 Palcich Rd
PO Box 1731
Frankfort, MI 49635-9602
Phone (231) 352-4447

Other identifiers 1

IdentifierTypeStateIssuer
4462021MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060629000167 MI Part B Supplier - Clinic/Group Practice 7911919378 Receives reassigned benefits from 3 practitioners
Practice locations: Frankfort, MI; Honor, MI

National Provider Directory

National Provider Directory

Locations

52 Palcich Rd
Frankfort, MI 49635
Phone (231) 352-4447

Practitioners & affiliated clinicians

Practitioners 4

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": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841235694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 PALCICH RD",
            "address_2": "PO BOX 1731",
            "city": "FRANKFORT",
            "state": "MI",
            "postal_code": "496359602",
            "telephone_number": "231-352-4447",
            "fax_number": "231-325-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 PALCICH RD",
            "city": "FRANKFORT",
            "state": "MI",
            "postal_code": "496359602",
            "telephone_number": "231-352-4447",
            "fax_number": "231-325-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LACHARITE",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-352-4447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4462021",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.