Mission Chiropractic Family Center, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

TH009053 Issued in MI

Legal business name

MISSION CHIROPRACTIC FAMILY CENTER, P.C.

Practice address

11245 N Mission Rd
Clare, MI 48617-9301

Phone

(989) 386-5437

Fax

(989) 386-4442

NPI assigned

Dec 13, 2016

Organization subpart

No

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

Authorized official

Name

Tammy S Bowen

Title

Supervisor

Phone

(989) 615-1988

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamara Renee Slusher, D.C.

  • Chiropractor
  • Clare, MI
  • NPI 1184636813
  Medicare reassignment NPD
• Toni A Rodnick, D.C.

  • Chiropractor
  • Clare, MI
  • NPI 1588004386
  NPD (past)

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1952845729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11245 N MISSION RD",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486179301",
            "telephone_number": "989-386-5437",
            "fax_number": "989-386-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11245 N MISSION RD",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486179301",
            "telephone_number": "989-386-5437",
            "fax_number": "989-386-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION CHIROPRACTIC FAMILY CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "989-615-1988"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "TH009053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4775643",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel L Middleton, MD
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• Midmichigan Home Health Services
• Midmichigan Visiting Nurse Association
• Daniel Miller I
• Mitten Heart Home Care LLC
• Kara Mondeau, PA
• Dale J Moser
• Edwardo Thomas Munoz, CRNA
• Mymichigan Medical Center Clare

• Chiropractor in Clare, MI
• Providers in Clare, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.