Organization Active NPI

Craft Chiropractic Center PC

  • Chiropractor
  • Wyoming, MI
National Provider Identifier
1982934907
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005297 Issued in MI
Legal business name
CRAFT CHIROPRACTIC CENTER PC
Practice address
1586 44TH St SW
Wyoming, MI 49509-4314
Phone
(616) 455-7040
NPI assigned
Jan 14, 2010
Last updated
Dec 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Dr. Dennis Craft, D.C.NPI 1174586259
Title
Member
Phone
(517) 543-1115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301005297 MI Primary

Addresses

Primary practice location

1586 44TH St SW
Wyoming, MI 49509-4314

Mailing address

1586 44TH St SW
Wyoming, MI 49509-4314
Phone (616) 455-7040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040528000845 MI Part B Supplier - Clinic/Group Practice 3274514799 Receives reassigned benefits from 5 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Charlotte, MI; Grand Ledge, MI; Marshall, MI; Middleville, MI

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1717 E Michigan Ave
Lansing, MI 48912
Phone (517) 485-9588

111 S Broadway St
Middleville, MI 49333
Phone (269) 205-2300

9751 E Grand River Ave
#367
Portland, MI 48875
Phone (517) 647-5570

54 Courtland St
Ste F
Rockford, MI 49341
Phone (616) 863-9771

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1982934907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1586 44TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495094314",
            "telephone_number": "616-455-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1586 44TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495094314",
            "telephone_number": "616-455-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAFT CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "CRAFT",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "517-543-1115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.