Organization Active NPI

Beyond the Spine Chiropractic & Massage PLLC

  • Chiropractor
  • South Haven, MI
National Provider Identifier
1962907600
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010365 Issued in MI
Legal business name
BEYOND THE SPINE CHIROPRACTIC & MASSAGE PLLC
Practice address
418 Broadway St
South Haven, MI 49090-1421
Phone
(269) 588-0752
NPI assigned
Mar 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Authorized official

Name
Dr. Christine Nicole Taylor, DCNPI 1841633518
Title
Owner/Chiropractic Physician
Phone
(269) 588-0752

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301010365 MI Primary

Addresses

Primary practice location

418 Broadway St
South Haven, MI 49090-1421

Mailing address

418 Broadway St
South Haven, MI 49090-1421
Phone (269) 588-0752

Other identifiers 1

IdentifierTypeStateIssuer
1841633518OtherINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180620000819 MI Part B Supplier - Clinic/Group Practice 0648525477 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Joseph, MI; South Haven, MI

National Provider Directory

National Provider Directory

Locations

3889 M 139
Ste 100
Saint Joseph, MI 49085
Phone (616) 334-4106

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1962907600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 BROADWAY ST",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490901421",
            "telephone_number": "269-588-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 BROADWAY ST",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490901421",
            "telephone_number": "269-588-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND THE SPINE CHIROPRACTIC & MASSAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "269-588-0752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1841633518",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.