NPIMap

Organization Active NPI

Tri-City Chiropractic, PLLC

  • Chiropractor
  • Saginaw, MI
National Provider Identifier
1982909818
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008789 Issued in MI
Legal business name
TRI-CITY CHIROPRACTIC, PLLC
Practice address
4266 State St
Saginaw, MI 48603-4028
Phone
(989) 792-6702
Fax
(989) 792-1128
NPI assigned
Jan 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Dr. Jeffrey Allen Kelly, D.C.
Title
Owner/Chiropractor
Phone
(989) 792-6702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301008789 MI Primary

Addresses

Primary practice location

4266 State St
Saginaw, MI 48603-4028

Mailing address

4266 State St
Saginaw, MI 48603-4028
Phone (989) 792-6702

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1982909818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4266 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486034028",
            "telephone_number": "989-792-6702",
            "fax_number": "989-792-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4266 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486034028",
            "telephone_number": "989-792-6702",
            "fax_number": "989-792-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "989-792-6702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.