Active NPI
Beyond the Spine Chiropractic & Massage PLLC
- Chiropractor
- South Haven, MI
National Provider Identifier
1962907600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301010365
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christine Nicole Taylor, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841633518 | Other | INDIVIDUAL NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.