Organization Active NPI

Sather Chiropractic PLC

  • Chiropractor
  • Clio, MI
National Provider Identifier
1922495498
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010161 Issued in MI
Legal business name
SATHER CHIROPRACTIC PLC
Practice address
11386 N Linden Rd
Suite A1
Clio, MI 48420-8501
Phone
(810) 686-3123
Fax
(810) 686-3124
NPI assigned
Apr 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Mr. Brent Myron Sather, D.C.NPI 1558790139
Title
Owner
Phone
(810) 275-2343

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301010161 MI Primary

Addresses

Primary practice location

11386 N Linden Rd
Suite A1
Clio, MI 48420-8501

Mailing address

11386 N Linden Rd
Suite A1
Clio, MI 48420-8501
Phone (810) 686-3123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150611001194 MI Part B Supplier - Clinic/Group Practice 1456672781 Receives reassigned benefits from 1 practitioner
Practice locations: Clio, MI

National Provider Directory

National Provider Directory

Locations

11386 N Linden Rd
Ste A1
Clio, MI 48420
Phone (810) 686-3123

11386 N Linden Rd
Ste 1A
Clio, MI 48420

11386 N Linden Rd
Clio, MI 48420

Practitioners & affiliated clinicians

Practitioners 8

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": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1922495498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11386 N LINDEN RD",
            "address_2": "SUITE A1",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484208501",
            "telephone_number": "810-686-3123",
            "fax_number": "810-686-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11386 N LINDEN RD",
            "address_2": "SUITE A1",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484208501",
            "telephone_number": "810-686-3123",
            "fax_number": "810-686-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATHER CHIROPRACTIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "SATHER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "MYRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-275-2343",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clio, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.