Brandon Chiropractic Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

JS007228

Legal business name

BRANDON CHIROPRACTIC CENTER PC

Practice address

70 Ortonville Rd
Brandon Chiropractic Center
Ortonville, MI 48462

Phone

(248) 627-9595

Fax

(248) 627-9379

NPI assigned

Oct 23, 2006

Last updated

Sep 26, 2007By 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. Jay A Stark, DCNPI 1962578575

Title

Owner

Phone

(248) 627-9595

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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.

• Jay Andrew Stark, DC

  • Chiropractor
  • Ortonville, MI
  • NPI 1962578575
  Medicare reassignment Authorized official
• Rocco J Borg, DO

  • Chiropractor
  • Caro, MI
  • NPI 1073198719
  NPD (past)
• Mitchell Harry Marr, D.C.

  • Chiropractor
  • Ortonville, MI
  • NPI 1396749719
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1861575169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 ORTONVILLE RD",
            "address_2": "BRANDON CHIROPRACTIC CENTER",
            "city": "ORTONVILLE",
            "state": "MI",
            "postal_code": "48462",
            "telephone_number": "248-627-9595",
            "fax_number": "248-627-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 ORTONVILLE RD",
            "address_2": "BRANDON CHIROPRACTIC CENTER",
            "city": "ORTONVILLE",
            "state": "MI",
            "postal_code": "48462",
            "telephone_number": "248-627-9595",
            "fax_number": "248-627-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-627-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": "JS007228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon J Baroni, AT, ATC
• Pamela Bellairs
• Nicole Marie Berry
• Best Dental Center PLLC
• Baylie Dynell Bettinger, NP
• Brandon Family Dental
• John Scott Branson, PH.D., LPC
• Roberto Brie
• Kristyn Nicole Briggs
• Charity Lynn Bukoski, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.