CHIROPRACTIC CARE GRAND TRAVERSE, PC
NPI 1407019698
Chiropractor in Traverse City, MI

Active since July 08, 2008
620 SECOND ST, TRAVERSE CITY, MI 49684(231) 922-0233(231) 941-9832 Get Directions Write a Review

NPPES record last updated: July 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chiropractic Care Grand Traverse, Pc NPPES

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

CHIROPRACTIC CARE GRAND TRAVERSE, PC (NPI 1407019698) is a healthcare organization registered as a chiropractor in Traverse City, Michigan and active in the NPI registry since July 2008. The organization lists Mark J Zimmer, Owner, as its authorized official.

NPPES Registry Identity

NPI1407019698
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCHIROPRACTIC CARE GRAND TRAVERSE, PC
Location Address620 SECOND STTraverse City, MI 49684-2272
Mailing Address620 Second StTraverse City, MI 49684-2272 · (231) 922-0233 · Fax (231) 941-9832
Fax(231) 941-9832
Organization SubpartNo
Authorized OfficialMark J ZimmerOwner · (231) 922-0233
Enumeration DateJuly 8, 2008
NPI 1407019698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MI · 2301005511
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.
620 SECOND ST, Traverse City, MI 49684

Other Identifiers 4

Medicare PIN0M77080MI
Medicaid144355184MI
OtherMZ005511MI · Blue Cross Blue Shield
Medicare UPINU36449MI

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

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 Chiropractic Care Grand Traverse, PC's NPI number?

The NPI number for Chiropractic Care Grand Traverse, PC is 1407019698. It was assigned to this organization in the NPPES registry on July 8, 2008.

Where is Chiropractic Care Grand Traverse, PC located?

Chiropractic Care Grand Traverse, PC is located at 620 Second St, Traverse City, MI 49684. The listed phone number is (231) 922-0233.

What is Chiropractic Care Grand Traverse, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Chiropractic Care Grand Traverse, PC was last updated on July 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.