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FOUNTAIN CHIRO LLC
NPI 1013467323
Chiropractor in Flat Rock, MI

Active since October 11, 2016
24640 TELEGRAPH RD, FLAT ROCK, MI 48134(734) 782-0200(734) 782-0200 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 19, 2016, Oct 11, 2016 (2 updates tracked since 2016).

About Fountain Chiro Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUNTAIN CHIRO LLC (NPI 1013467323) is a healthcare organization registered as a chiropractor in Flat Rock, Michigan and active in the NPI registry since October 2016. The organization lists Greg Ross Fountain, Owner, as its authorized official.

NPPES Registry Identity

NPI1013467323
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameFOUNTAIN CHIRO LLC
Location Address24640 TELEGRAPH RDFlat Rock, MI 48134-9226
Mailing Address24640 Telegraph RdFlat Rock, MI 48134-9226 · (734) 782-0200 · Fax (734) 782-0200
Phone(734) 782-0200
Fax(734) 782-0200
Organization SubpartNo
Authorized OfficialGreg Ross FountainOwner · (734) 652-7259
Enumeration DateOctober 11, 2016
Last NPPES UpdateOctober 19, 20162 updates tracked since enumeration
✔ NPI 1013467323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301009847
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
24640 TELEGRAPH RD, Flat Rock, MI 48134
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fountain Chiro Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Fountain Chiro LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Greg Fountain, D.C.
Chiropractic
NPI 1033492756
24640 TELEGRAPH RD
Flat Rock, MI 48134
(734) 652-7259
✔ Accepts MedicareSame address
Jason Laske, DC
Chiropractic
NPI 1437192093
24640 TELEGRAPH RD
Flat Rock, MI 48134
(734) 782-0200
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fountain Chiro LLC's NPI number?

The NPI number for Fountain Chiro LLC is 1013467323. It was assigned to this organization in the NPPES registry on October 11, 2016.

Where is Fountain Chiro LLC located?

Fountain Chiro LLC is located at 24640 Telegraph Rd, Flat Rock, MI 48134. The listed phone number is (734) 782-0200.

What is Fountain Chiro LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Fountain Chiro LLC enrolled in Medicare?

Yes. Fountain Chiro LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fountain Chiro LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Fountain Chiro LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fountain Chiro LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Fountain Chiro LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fountain Chiro LLC was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.