Organization Active NPI

Oceana Family Chiropractic PC

  • Chiropractor
  • Hart, MI
National Provider Identifier
1932639697
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010361 Issued in MI
Legal business name
OCEANA FAMILY CHIROPRACTIC PC
Practice address
1122 S State St
Hart, MI 49420-1248
Phone
(231) 301-8383
Fax
(231) 903-6467
NPI assigned
Jun 15, 2017
Last updated
Feb 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Valerie Fedewa, DCNPI 1407217961
Title
President
Phone
(517) 526-3911

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
Chiropractor 111N00000X 2301010361 MI Primary

Addresses

Primary practice location

1122 S State St
Hart, MI 49420-1248

Mailing address

1122 S State St
Hart, MI 49420-1248
Phone (231) 301-8383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170721002116 MI Part B Supplier - Clinic/Group Practice 8921378092 Receives reassigned benefits from 1 practitioner
Practice locations: Hart, MI

National Provider Directory

National Provider Directory

Locations

1122 S State St
Hart, MI 49420
Phone (231) 301-8383

4181 W Polk Rd
Hart, MI 49420
Phone (231) 301-8383

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1932639697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 S STATE ST",
            "city": "HART",
            "state": "MI",
            "postal_code": "494201248",
            "telephone_number": "231-301-8383",
            "fax_number": "231-903-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 S STATE ST",
            "city": "HART",
            "state": "MI",
            "postal_code": "494201248",
            "telephone_number": "231-301-8383",
            "fax_number": "231-903-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANA FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "FEDEWA",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-526-3911",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hart, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.