Individual provider Active NPI

Meaghan S Brent, D.C.

  • Chiropractor
  • Jackson, MI
National Provider Identifier
1912214982
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009730 Issued in MI
Practice address
1216 Wildwood Ave Ste D
Jackson, MI 49202-4251
Phone
(517) 315-4468
Fax
(517) 315-4478
NPI assigned
Sep 10, 2010
Last updated
Jan 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009730 MI Primary

Addresses

Primary practice location

1216 Wildwood Ave Ste D
Jackson, MI 49202-4251

Mailing address

6531 Wheaton Rd
Jackson, MI 49201-7253
Phone (517) 812-5629

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110216001157 MI Practitioner - Chiropractic 0749461291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1216 Wildwood Ave
Suite D
Jackson, MI 49202-4251
Phone (517) 315-4468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009730MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brent Family Chiropractic Chiropractor CurrentSince Oct 4, 2010 Accepting new patients

Locations

1216 Wildwood Ave
Ste D
Jackson, MI 49202
Phone (517) 315-4468

610 W Michigan Ave
Jackson, MI 49201
Phone (517) 784-9101

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1912214982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6531 WHEATON RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492017253",
            "telephone_number": "517-812-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 WILDWOOD AVE STE D",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492024251",
            "telephone_number": "517-315-4468",
            "fax_number": "517-315-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENT",
        "first_name": "MEAGHAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-10",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.