Organization Active NPI

Ace Family Chiropractic PLLC

  • Chiropractor
  • Flint, MI
National Provider Identifier
1871341602
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ACE FAMILY CHIROPRACTIC PLLC
Practice address
G4010 W Court St
Flint, MI 48532-3518
Phone
(810) 230-2702
NPI assigned
May 7, 2024
Last updated
Jul 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Dr. Jacob John Leclair, DCNPI 1841941283
Title
Chiropractor
Phone
(989) 493-1807

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 Primary

Addresses

Primary practice location

G4010 W Court St
Flint, MI 48532-3518

Mailing address

2398 Pine River Rd
Standish, MI 48658-9696
Phone (989) 493-1807

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240716000454 MI Part B Supplier - Clinic/Group Practice 7517402472 Receives reassigned benefits from 2 practitioners
Practice locations: Flint, MI

National Provider Directory

National Provider Directory

Locations

G4010 W Court St
Flint, MI 48532
Phone (810) 230-2702

Practitioners & affiliated clinicians

Practitioners 4

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": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1871341602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2398 PINE RIVER RD",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486589696",
            "telephone_number": "989-493-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G4010 W COURT ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323518",
            "telephone_number": "810-230-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "LECLAIR",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "989-493-1807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.