Spot - Baumgartner Chiropractic & Nutritional Wellness Center PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008771 Issued in MI

Legal business name

SPOT - BAUMGARTNER CHIROPRACTIC & NUTRITIONAL WELLNESS CENTER PLC

Practice address

102 W Main St
Morenci, MI 49256-1419

Phone

(517) 458-7768

Fax

(517) 458-3202

NPI assigned

Apr 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Daniel Baumgartner, D.C.NPI 1598871220

Title

President

Phone

(517) 458-7768

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Daniel Baumgartner, DC

  • Chiropractor
  • Morenci, MI
  • NPI 1598871220
  Medicare reassignment NPD Authorized official
• Jordan L Bach, D.C.

  • Chiropractor
  • Cement City, MI
  • NPI 1942965728
  NPD (past)

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1891012803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W MAIN ST",
            "city": "MORENCI",
            "state": "MI",
            "postal_code": "492561419",
            "telephone_number": "517-458-7768",
            "fax_number": "517-458-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W MAIN ST",
            "city": "MORENCI",
            "state": "MI",
            "postal_code": "492561419",
            "telephone_number": "517-458-7768",
            "fax_number": "517-458-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOT - BAUMGARTNER CHIROPRACTIC & NUTRITIONAL WELLNESS CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "BAUMGARTNER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-458-7768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0D600520",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A. Robichaud, D.D.S.
• Lance Matthew Shaffer, D.C.
• Shivaprasad K Shetty, M.D.
• Rachel Lee Shoemaker
• Kandice Speiser, LPN
• Thomas a. Cable OD, Inc

• All providers in Morenci, MI
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.