Concord Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 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

Last updated

Dec 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Whitney Smith, DCNPI 1558722371

Title

Owner

Phone

(517) 524-2225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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.

• Whitney Smith, D.C.

  • Chiropractor
  • Concord, MI
  • NPI 1558722371
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1972060093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 SPRING ARBOR RD",
            "city": "CONCORD",
            "state": "MI",
            "postal_code": "492379617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W JACKSON RD",
            "city": "CONCORD",
            "state": "MI",
            "postal_code": "492379617",
            "telephone_number": "517-524-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-524-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Casto
• Concord School-Linked Health Center
• Healing Through Grace, LLC
• Daun Septembra - Michelle Kittinger, MSW
• Heather Renee Miller, LMSW
• Heather Potter

• Chiropractor in Concord, MI
• Providers in Concord, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.