Active NPI
Hometown Chiropractic Spring Arbor, PLLC
- Chiropractor
- Spring Arbor, MI
National Provider Identifier
1972077113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- HOMETOWN CHIROPRACTIC SPRING ARBOR, PLLC
- Practice address
- 215 E Main St
Spring Arbor, MI 49283-9673 - Phone
- (517) 795-2775
- Fax
- (517) 796-3119
- NPI assigned
- Jan 21, 2019
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Shannon Bielski Derscheid, DC
- Title
- DC/Owner
- Phone
- (517) 795-2775
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Spring Arbor, MI
- NPI 1194295436
-
- Chiropractor
- Adrian, MI
- NPI 1164085411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190211002037 | MI | Part B Supplier - Clinic/Group Practice | 5890033229 |
Receives reassigned benefits from 1 practitioner Practice locations: Spring Arbor, MI |
National Provider Directory
National Provider DirectoryLocations
215 E Main St
Spring Arbor, MI 49283
Phone (517) 795-2775
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
215 E Main St
Spring Arbor, MI 49283-9673
Mailing address
1408 Leroy St
Jackson, MI 49202-3542
Phone (517) 795-2775
Other names 1
NPPES NPI Registry- Hometown Chiropractic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 9, 2025.
{
"created_epoch": "1548028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757376000000",
"number": "1972077113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 LEROY ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492023542",
"telephone_number": "517-795-2775",
"fax_number": "517-796-3119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E MAIN ST",
"city": "SPRING ARBOR",
"state": "MI",
"postal_code": "492839673",
"telephone_number": "517-795-2775",
"fax_number": "517-796-3119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMETOWN CHIROPRACTIC SPRING ARBOR, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-21",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A",
"authorized_official_last_name": "DERSCHEID",
"authorized_official_first_name": "SHANNON",
"authorized_official_middle_name": "BIELSKI",
"authorized_official_title_or_position": "DC/OWNER",
"authorized_official_telephone_number": "517-795-2775",
"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": [
{
"organization_name": "Hometown Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spring Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.