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DR. WILLIE L MCFADDEN D.C.
NPI 1295934883
Chiropractor in Mount Clemens, MI

Active since July 13, 2007
1430 SB GRATIOT AVE, MOUNT CLEMENS, MI 48043(586) 468-6868 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Willie L Mcfadden D.c. NPPES

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

DR. WILLIE L MCFADDEN D.C. (NPI 1295934883) is an individual chiropractor in Mount Clemens, Michigan, licensed in Michigan (2301008556) and active in the NPI registry since July 2007. He maintains a secondary practice location in Clinton Township and is a graduate of Life Chiropractic College (2001).

NPPES Registry Identity

NPI1295934883
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. WILLIE L MCFADDENCredential: D.C.
Location Address1430 SB GRATIOT AVEMount Clemens, MI 48043-6533
Mailing AddressPo Box 532Mount Clemens, MI 48046-0532 · (586) 468-6868
Phone(586) 468-6868
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 2001
Enumeration DateJuly 13, 2007
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1295934883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301008556
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.
1430 SB GRATIOT AVE, Mount Clemens, MI 48043
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Secondary Practice Location 1

Location 121360 Cass AveClinton Township, MI 48036-1482 · Phone (586) 468-6868

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Willie L Mcfadden D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800369067
PECOS Enrollment IDI20260629001980

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 Willie Mcfadden's NPI number?

The NPI number for Willie Mcfadden is 1295934883. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Where is Willie Mcfadden located?

Willie Mcfadden practices at 1430 Sb Gratiot Ave, Mount Clemens, MI 48043. The listed phone number is (586) 468-6868.

What is Willie Mcfadden's specialty?

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

Is Willie Mcfadden enrolled in Medicare?

Yes. Willie Mcfadden is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Willie Mcfadden was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.