Active NPI
Craft Chiropractic Center PC
- Chiropractor
- Wyoming, MI
National Provider Identifier
1982934907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301005297
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dennis Craft, D.C.
- Title
- Member
- Phone
- (517) 543-1115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
223 Lansing St
Charlotte, MI 48813
Phone (517) 543-1115
9751 E Grand River Ave
#367
Portland, MI 48875
Phone (517) 647-5570
1586 44th St SW
Wyoming, MI 49509
Phone (616) 455-7040
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Charlotte, MI
- NPI 1427834464
-
- Chiropractor
- Clare, MI
- NPI 1083634851
-
- Massage Therapist
- Charlotte, MI
- NPI 1831971795
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.