Organization Active NPI

McFadden Chiropractic Clinic Inc

  • Chiropractor
  • Charlevoix, MI
National Provider Identifier
1982802161
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008271 Issued in MI
Legal business name
MCFADDEN CHIROPRACTIC CLINIC INC
Practice address
12900 US Highway 31 N
Suite G H
Charlevoix, MI 49720-1530
Phone
(231) 547-0995
Fax
(231) 237-0791
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Brian McFaddenNPI 1891720215
Title
DC
Phone
(231) 547-0995

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301008271 MI Primary

Addresses

Primary practice location

12900 US Highway 31 N
Suite G H
Charlevoix, MI 49720-1530

Mailing address

12900 US Highway 31 N
Suite G H
Charlevoix, MI 49720-1530
Phone (231) 547-0995

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050309000134 MI Part B Supplier - Clinic/Group Practice 2961456348 Receives reassigned benefits from 1 practitioner
Practice locations: Charlevoix, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Locations

12900 US Highway 31 N
Charlevoix, MI 49720
Phone (231) 237-0048

12900 US Highway 31 N
Ste G
Charlevoix, MI 49720
Phone (231) 547-0995

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": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1982802161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 US HIGHWAY 31 N",
            "address_2": "SUITE G H",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201530",
            "telephone_number": "231-547-0995",
            "fax_number": "231-237-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 US HIGHWAY 31 N",
            "address_2": "SUITE G H",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201530",
            "telephone_number": "231-547-0995",
            "fax_number": "231-237-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCFADDEN CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "MCFADDEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "231-547-0995"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlevoix, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.