Organization Active NPI

Spectrum Chiropractic and Health

  • Chiropractor
  • Adrian, MI
National Provider Identifier
1952931172
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPECTRUM CHIROPRACTIC AND HEALTH
Practice address
690 Riverside Ave
Adrian, MI 49221-1544
Phone
(177) 594-1835
NPI assigned
Jan 16, 2020
Last updated
May 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Brianna Kyle Wallace, DCNPI 1164085411
Title
Co-Owner
Phone
(517) 759-4183

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Radiology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0200X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

690 Riverside Ave
Adrian, MI 49221-1544

Mailing address

690 Riverside Ave
Adrian, MI 49221-1544
Phone (177) 594-1835

Other identifiers 1

IdentifierTypeStateIssuer
2301010808OtherMIBCBSM

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Adrian Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210301002419 MI Part B Supplier - Clinic/Group Practice 7911313853 Receives reassigned benefits from 2 practitioners
Practice locations: Adrian, MI

National Provider Directory

National Provider Directory

Locations

690 Riverside Ave
Adrian, MI 49221
Phone (517) 263-7118

Practitioners & affiliated clinicians

Practitioners 2

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": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1952931172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 RIVERSIDE AVE",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211544",
            "telephone_number": "177-594-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 RIVERSIDE AVE",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211544",
            "telephone_number": "177-594-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM CHIROPRACTIC AND HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "517-759-4183",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "2301010808",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Adrian",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Adrian",
            "address_1": "690 Riverside Ave",
            "city": "Adrian",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492211544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.