Active NPI
Spectrum Chiropractic and Health
- Chiropractor
- Adrian, MI
National Provider Identifier
1952931172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brianna Kyle Wallace, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Radiology Chiropractor | 111NR0200X | |||
| Massage Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2301010808 | Other | MI | BCBSM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Adrian | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Adrian, MI
- NPI 1164085411
-
- Chiropractor
- Adrian, MI
- NPI 1265006621
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.