Active NPI
Christopher Fair, D.C.
- Chiropractor
- Boyne City, MI
National Provider Identifier
1992856884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301005427
- Practice address
- 200 Air Industrial Park Drive
Boyne City, MI 49712 - Phone
- (231) 582-2844
- Fax
- (231) 582-2311
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301005427 | MI | Primary |
Addresses
Primary practice location
200 Air Industrial Park Drive
Boyne City, MI 49712
Mailing address
PO Box 287
Boyne City, MI 49712-0287
Phone (231) 582-2844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2301005427 | Other | MI | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070308000311 | MI | Practitioner - Chiropractic | 9133222334 | Practice locations: Boyne City, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
200 Industrial Pkwy Dr
Boyne City, MI 49712-9616
Phone (231) 582-2844
PO Box
Suite 287
Boyne City, MI 49712-0287
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992856884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 287",
"city": "BOYNE CITY",
"state": "MI",
"postal_code": "497120287",
"telephone_number": "231-582-2844",
"fax_number": "231-582-2311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 AIR INDUSTRIAL PARK DRIVE",
"city": "BOYNE CITY",
"state": "MI",
"postal_code": "49712",
"telephone_number": "231-582-2844",
"fax_number": "231-582-2311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIR",
"first_name": "CHRISTOPHER",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301005427",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2301005427",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boyne City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.