South Haven Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301006100 Issued in MI

Legal business name

SOUTH HAVEN CHIROPRACTIC CLINIC

Practice address

1210 Phoenix St
Suite 10
South Haven, MI 49090-7913

Phone

(269) 639-7200

Fax

(269) 621-2556

NPI assigned

May 12, 2008

Organization subpart

Yes

Parent organization

AHAD E. LOTFI, DC., PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Ahad E. Lotfi, D.C.

Title

Owner/Chiropractor

Phone

(269) 639-7200

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Ahad Lotfi DC PLLC Clinic2 organizations share this tax ID, including this one

Part of

Ahad Lotfi DC PLLC Clinic

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Paw Paw Chiropractic Clinic

  • Chiropractor
  • Paw Paw, MI
  • NPI 1174790059
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Ahad E Lotfi DC PLLC

  • Chiropractor
  • Hartford, MI
  • NPI 1699882951
  NPPES parent name

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1962679670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621",
            "city": "HARTFORD",
            "state": "MI",
            "postal_code": "490570621",
            "telephone_number": "269-621-3800",
            "fax_number": "269-621-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 PHOENIX ST",
            "address_2": "SUITE 10",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490907913",
            "telephone_number": "269-639-7200",
            "fax_number": "269-621-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HAVEN CHIROPRACTIC CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHAD E. LOTFI, DC., PLLC",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "LOTFI",
        "authorized_official_first_name": "AHAD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "269-639-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3427986",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Eric Smith, OTR
• Soma Medical Clinic, LLC
• Alisa A Somers, DPT
• South Coast Home LLC
• South Haven Area Emergency Services Authority
• South Haven Community Health System
• South Haven Eyecare Associates
• South Haven Family Physicians, P.C.
• South Haven Opco, LLC
• Southwest Family Footcare Specialist, LLC

• Chiropractor in South Haven, MI
• Providers in South Haven, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.