Active NPI
Douglas Springborn, D.C.
- Chiropractor
- Conway, MI
National Provider Identifier
1952503047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301005903
- Practice address
- 3415 Us31 North
Conway, MI 49722 - Phone
- (231) 439-2200
- NPI assigned
- Jun 1, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301005903 | MI | Primary |
Addresses
Primary practice location
3415 Us31 North
Conway, MI 49722
Mailing address
2295 Chippewa Path
Alanson, MI 49706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120712000541 | MI | Practitioner - Chiropractic | 2860657061 | Practice locations: Conway, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1992
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3415 US 31
Conway, MI 49722-9800
Phone (231) 439-2200
3415 US 31 N PO Box
Suite 184
Conway, MI 49722-0184
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301005903 | MI | MD | Chiropractor |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Cheboygan, MI
- NPI 1336897735
-
- General Acute Care Hospital
- Petoskey, MI
- NPI 1992812580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952503047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2295 CHIPPEWA PATH",
"city": "ALANSON",
"state": "MI",
"postal_code": "49706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 US31 NORTH",
"city": "CONWAY",
"state": "MI",
"postal_code": "49722",
"telephone_number": "231-439-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRINGBORN",
"first_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301005903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.