Organization Active NPI

Hometown Chiropractic Spring Arbor, PLLC

  • Chiropractor
  • Spring Arbor, MI
National Provider Identifier
1972077113
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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, DCNPI 1194295436
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.

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

215 E Main St
Spring Arbor, MI 49283
Phone (517) 795-2775

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

NPPES NPI Registry

Primary 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 Doing business as

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.

Verify at the official NPI Registry.