Organization Active NPI

Discover Chiropractic U.P., PLLC

  • Chiropractor
  • Hancock, MI
National Provider Identifier
1952550170
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009078 Issued in MI
Legal business name
DISCOVER CHIROPRACTIC U.P., PLLC
Practice address
101 E Quincy St
Suite 3
Hancock, MI 49930-2167
Phone
(906) 482-4900
Fax
(906) 482-0601
NPI assigned
Sep 11, 2008
Last updated
Sep 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Davin Andrew Isaacson, D.C.NPI 1114907342
Title
Chiropractor/Owner
Phone
(906) 482-4900

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 2301009078 MI Primary

Addresses

Primary practice location

101 E Quincy St
Suite 3
Hancock, MI 49930-2167

Mailing address

101 E Quincy St
Suite 3
Hancock, MI 49930-2167
Phone (906) 482-4900

Other identifiers 2

IdentifierTypeStateIssuer
950C110310OtherMIBCBS
950C110430OtherMIBCBS

Other names 1

  • Davin Isaacson, Sole Member Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080922000096 MI Part B Supplier - Clinic/Group Practice 5799852539 Receives reassigned benefits from 1 practitioner
Practice locations: Hancock, MI

National Provider Directory

National Provider Directory

Locations

101 E Quincy St
Ste 3
Hancock, MI 49930
Phone (906) 482-4900

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": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1952550170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E QUINCY ST",
            "address_2": "SUITE 3",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499302167",
            "telephone_number": "906-482-4900",
            "fax_number": "906-482-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E QUINCY ST",
            "address_2": "SUITE 3",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499302167",
            "telephone_number": "906-482-4900",
            "fax_number": "906-482-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVER CHIROPRACTIC U.P., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "ISAACSON",
        "authorized_official_first_name": "DAVIN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "906-482-4900",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950C110310",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950C110430",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davin Isaacson, Sole Member",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hancock, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.