NPIMap

Organization Active NPI

Med Tech Ortho Center LLC

  • Chiropractor
  • Mount Morris, MI
National Provider Identifier
1891241824
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301002505 Issued in MI
Legal business name
MED TECH ORTHO CENTER LLC
Practice address
1048 Corydon Dr
Mount Morris, MI 48458-1630
Phone
(810) 247-3048
NPI assigned
Aug 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Authorized official

Name
Dr. Thom D Hopper, DC
Title
Owner
Phone
(810) 247-3048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2301002505 MI Primary

Addresses

Primary practice location

1048 Corydon Dr
Mount Morris, MI 48458-1630

Mailing address

1048 Corydon Dr
Mount Morris, MI 48458-1630
Phone (810) 247-3048

Other identifiers 1

IdentifierTypeStateIssuer
2301002505OtherMIMEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1891241824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 CORYDON DR",
            "city": "MOUNT MORRIS",
            "state": "MI",
            "postal_code": "484581630",
            "telephone_number": "810-247-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 CORYDON DR",
            "city": "MOUNT MORRIS",
            "state": "MI",
            "postal_code": "484581630",
            "telephone_number": "810-247-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED TECH ORTHO CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "HOPPER",
        "authorized_official_first_name": "THOM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-247-3048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301002505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "2301002505",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Morris, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.