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WHITE LAKE CHIROPRACTIC CENTRE INC
NPI 1457522385
Chiropractor in Whitehall, MI

Active since March 19, 2008
1030 S MEARS AVE, SUITE A, WHITEHALL, MI 49461(231) 893-1755(231) 893-3595 Get Directions Write a Review

NPPES record last updated: June 16, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About White Lake Chiropractic Centre Inc NPPES

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

WHITE LAKE CHIROPRACTIC CENTRE INC (NPI 1457522385) is a healthcare organization registered as a chiropractor in Whitehall, Michigan and active in the NPI registry since March 2008. The organization lists Randy D Brown, President, as its authorized official.

NPPES Registry Identity

NPI1457522385
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWHITE LAKE CHIROPRACTIC CENTRE INC
Location Address1030 S MEARS AVE, SUITE AWhitehall, MI 49461-1779
Mailing Address1030 S Mears Ave, Suite AWhitehall, MI 49461-1779 · (231) 893-1755 · Fax (231) 893-3595
Phone(231) 893-1755
Fax(231) 893-3595
Organization SubpartNo
Authorized OfficialRandy D BrownPresident · (231) 893-1755
Enumeration DateMarch 19, 2008
Last NPPES UpdateJune 16, 2009
✔ NPI 1457522385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301003057
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.
1030 S MEARS AVE, Whitehall, MI 49461
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 Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

White Lake Chiropractic Centre Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20090706000233Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to White Lake Chiropractic Centre Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Randy Brown, DC
Chiropractic
NPI 1851373146
1020 S MEARS AVE
Whitehall, MI 49461
(231) 893-1755
0.1 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 White Lake Chiropractic Centre Inc's NPI number?

The NPI number for White Lake Chiropractic Centre Inc is 1457522385. It was assigned to this organization in the NPPES registry on March 19, 2008.

Where is White Lake Chiropractic Centre Inc located?

White Lake Chiropractic Centre Inc is located at 1030 S Mears Ave Suite A, Whitehall, MI 49461. The listed phone number is (231) 893-1755.

What is White Lake Chiropractic Centre Inc's specialty?

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

Is White Lake Chiropractic Centre Inc enrolled in Medicare?

Yes. White Lake Chiropractic Centre Inc is registered in the Medicare PECOS enrollment system.

When is White Lake Chiropractic Centre Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through White Lake Chiropractic Centre Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to White Lake Chiropractic Centre Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does White Lake Chiropractic Centre Inc accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list White Lake Chiropractic Centre Inc 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 White Lake Chiropractic Centre Inc was last updated on June 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.