White Lake Chiropractic D O P C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DM006064 Issued in MI

Legal business name

WHITE LAKE CHIROPRACTIC D O P C

Practice address

6929 Highland Rd
Waterford, MI 48327-1679

Phone

(248) 698-6920

Fax

(248) 698-6923

NPI assigned

Jan 16, 2008

Last updated

Aug 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David T Mitchell, D.C.NPI 1528169224

Title

Owner

Phone

(248) 698-6920

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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.

• David Thomas Mitchell, DC

  • Chiropractor
  • Waterford, MI
  • NPI 1528169224
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1851577274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271679",
            "telephone_number": "248-698-6920",
            "fax_number": "248-698-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6929 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271679",
            "telephone_number": "248-698-6920",
            "fax_number": "248-698-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE LAKE CHIROPRACTIC D O P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-698-6920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "DM006064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950F35490",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "95OF36930",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1103833049",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Wencel
• Megan Eileen Wencley, MA, LLPC, NCC
• Alexandra Wenson-Levin
• Chrystal Nicole Westbrook, M.A. L.P.C.
• Wheelchair Transport by Alpha
• James White Jr., PHD, NP
• Jennifer White, M.S., CCC-SLP
• William White
• Richard James Whitman III
• James Council Wickersham, LMSW, CAADC

• Chiropractor in Waterford, MI
• Providers in Waterford, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.