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CANTON CENTER CHIROPRACTIC CLINIC
NPI 1114919016
Chiropractor in Canton, MI

Active since August 17, 2005
6231 N CANTON CENTER RD, SUITE 109, CANTON, MI 48187(734) 455-6767(734) 455-2359 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Canton Center Chiropractic Clinic NPPES

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

CANTON CENTER CHIROPRACTIC CLINIC (NPI 1114919016) is a healthcare organization registered as a chiropractor in Canton, Michigan and active in the NPI registry since August 2005. The organization lists Robert Edward Potter, Owner, as its authorized official.

NPPES Registry Identity

NPI1114919016
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameROBERT EDWARD POTTER JR DC PLLC
Location Address6231 N CANTON CENTER RD, SUITE 109Canton, MI 48187-2694
Mailing Address6231 N Canton Center Rd, Suite 109Canton, MI 48187-2694 · (734) 455-6767 · Fax (734) 455-2359
Phone(734) 455-6767
Fax(734) 455-2359
Organization SubpartNo
Authorized OfficialRobert Edward PotterOwner · (734) 455-6767
Enumeration DateAugust 17, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114919016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301005410
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.
6231 N CANTON CENTER RD, Canton, MI 48187
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Other Names 1

Doing Business AsCanton Center Chiropractic Clinic

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)

Canton Center Chiropractic Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Canton Center Chiropractic Clinic, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Kinan Abdul Baki, D.C.
Chiropractic
NPI 1215634944
6231 N CANTON CENTER RD STE 109
Canton, MI 48187
(734) 455-6767
✔ Accepts MedicareSame address
Sean Gregory, D.C.
Chiropractic
NPI 1619385440
6231 N CANTON CENTER RD SUITE 109
Canton, MI 48187
(734) 455-6767
✔ Accepts MedicareSame address
Robert Potter, DC
Chiropractic
NPI 1649262254
6231 N CANTON CENTER RD STE 109
Canton, MI 48187
(734) 455-6767
✔ Accepts MedicareSame address
Danielle Potter-Bodenlos, D.C.
Chiropractic
NPI 1790023182
6231 N CANTON CENTER RD SUITE 109
Canton, MI 48187
(734) 455-6767
✔ Accepts MedicareSame address
Joseph Ermete, DC
Chiropractic
NPI 1326987215
9820 LEVAN RD
Livonia, MI 48150
(734) 751-2900
✔ Accepts Medicare5.1 mi
Gregory Hill, DC
Chiropractic
NPI 1356097885
704 W 11 MILE RD
Royal Oak, MI 48067
(248) 543-3200
✔ Accepts Medicare21 mi

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 Robert Edward Potter Jr Dc PLLC's NPI number?

The NPI number for Robert Edward Potter Jr Dc PLLC is 1114919016. It was assigned to this organization in the NPPES registry on August 17, 2005. The provider is doing business as Canton Center Chiropractic Clinic.

Where is Robert Edward Potter Jr Dc PLLC located?

Robert Edward Potter Jr Dc PLLC is located at 6231 N Canton Center Rd Suite 109, Canton, MI 48187. The listed phone number is (734) 455-6767.

What is Robert Edward Potter Jr Dc PLLC's specialty?

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

Is Robert Edward Potter Jr Dc PLLC enrolled in Medicare?

Yes. Robert Edward Potter Jr Dc PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Robert Edward Potter Jr Dc PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Chiropractic, reassign their Medicare billing to Robert Edward Potter Jr Dc PLLC. 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, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Robert Edward Potter Jr Dc PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Robert Edward Potter Jr Dc PLLC 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 Robert Edward Potter Jr Dc PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.