Organization Active NPI

Gorbach Family Chiropractic LLC

  • Chiropractor
  • Comstock Park, MI
National Provider Identifier
1841642832
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009613 Issued in MI
Legal business name
GORBACH FAMILY CHIROPRACTIC LLC
Practice address
6440 Alpine Ave NW
Suite 2
Comstock Park, MI 49321-8003
Phone
(616) 419-3399
NPI assigned
Jul 1, 2016
Last updated
Jul 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Authorized official

Name
Jeffrey GorbachNPI 1265748131
Title
Owner/Chiropractor
Phone
(231) 638-0962

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
Chiropractor 111N00000X 2301009613 MI Primary

Addresses

Primary practice location

6440 Alpine Ave NW
Suite 2
Comstock Park, MI 49321-8003

Mailing address

6440 Alpine Ave NW
Suite 2
Comstock Park, MI 49321-8003
Phone (616) 419-3399

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160711000474 MI Part B Supplier - Clinic/Group Practice 5991097057 Receives reassigned benefits from 1 practitioner
Practice locations: Comstock Park, MI

National Provider Directory

National Provider Directory

Locations

6440 Alpine Ave NW
Ste 2
Comstock Park, MI 49321
Phone (231) 638-0962

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": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1841642832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 ALPINE AVE NW",
            "address_2": "SUITE 2",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "493218003",
            "telephone_number": "616-419-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 ALPINE AVE NW",
            "address_2": "SUITE 2",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "493218003",
            "telephone_number": "616-419-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORBACH FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "GORBACH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "231-638-0962"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Comstock Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.