NPIMap

Organization Active NPI

JC Chiropractic, LLC

  • Chiropractor
  • Royal Oak, MI
National Provider Identifier
1982838215
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009546 Issued in MI
Legal business name
JC CHIROPRACTIC, LLC
Practice address
1226 Cloverdale Dr
Royal Oak, MI 48067-1165
Phone
(810) 434-2415
Fax
(810) 329-6303
NPI assigned
May 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Authorized official

Name
Dr. Jennifer Lynn Bennett, D.C.
Title
Chiropractor
Phone
(810) 434-2415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301009546 MI Primary

Addresses

Primary practice location

1226 Cloverdale Dr
Royal Oak, MI 48067-1165

Mailing address

1226 Cloverdale Dr
Royal Oak, MI 48067-1165
Phone (810) 434-2415

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1982838215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 CLOVERDALE DR",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671165",
            "telephone_number": "810-434-2415",
            "fax_number": "810-329-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 CLOVERDALE DR",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671165",
            "telephone_number": "810-434-2415",
            "fax_number": "810-329-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "810-434-2415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.