Concord Chiropractic LLC
Organization Active NPI Chiropractor · Concord, MI
NPI 1972060093 · NPPES record last updated Dec 13, 2019
Key facts
- NPI
- 1972060093
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- CONCORD CHIROPRACTIC LLC
- Practice address
- 119 W Jackson Rd
Concord, MI 49237-9617 - Phone
- (517) 524-2225
- NPI assigned
- Feb 25, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Whitney Smith, DC
- Title
- Owner
- Phone
- (517) 524-2225
Practitioners 1
-
Whitney Smith, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190410001720 | MI | Part B Supplier - Clinic/Group Practice | 7517208002 |
Receives reassigned benefits from 1 practitioner Practice locations: Concord, MI |
National Provider Directory
Locations
119 Spring Arbor Rd
Concord, MI 49237
Phone (517) 524-2225
119 W Jackson
Concord, MI 49237
Phone (517) 524-2225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
119 W Jackson Rd
Concord, MI 49237-9617
Mailing address
119 Spring Arbor Rd
Concord, MI 49237-9617
Other providers in Concord, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.