Organization Active NPI

Thompson Family Chiropractic and Wellness Center P.C.

  • Chiropractor
  • Niles, MI
National Provider Identifier
1871753160
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004803 Issued in MI
Legal business name
THOMPSON FAMILY CHIROPRACTIC AND WELLNESS CENTER P.C.
Practice address
109 S Lincoln Ave
Niles, MI 49120-2917
Phone
(269) 684-7822
Fax
(269) 684-7088
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Dr. James Thompson, D.C.
Title
President
Phone
(269) 684-7822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301004803 MI Primary

Addresses

Primary practice location

109 S Lincoln Ave
Niles, MI 49120-2917

Mailing address

PO Box 576
Niles, MI 49120-0576
Phone (269) 684-7822

Other identifiers 4

IdentifierTypeStateIssuer
11290498OtherMICAQH
144315151MedicaidMI
OA15048OtherMIBCBS
350052970OtherMIRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

208 Grant St
Niles, MI 49120
Phone (269) 684-7822

109 S Lincoln Ave
Niles, MI 49120
Phone (269) 684-7288

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1871753160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491200576",
            "telephone_number": "269-684-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S LINCOLN AVE",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202917",
            "telephone_number": "269-684-7822",
            "fax_number": "269-684-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON FAMILY CHIROPRACTIC AND WELLNESS CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-684-7822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11290498",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144315151",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OA15048",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350052970",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.