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DR. DEREK LANDIS DC
NPI 1578422200
Chiropractor in Richmond, MI

Active since January 19, 2026
66990 GRATIOT AVE, RICHMOND, MI 48062(586) 727-8900 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Derek Landis Dc NPPES

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

DR. DEREK LANDIS DC (NPI 1578422200) is an individual chiropractor in Richmond, Michigan, licensed in Michigan (2301401689) and active in the NPI registry since January 2026. He maintains a secondary practice location in Washington and is a graduate of Other (2026).

NPPES Registry Identity

NPI1578422200
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. DEREK LANDISCredential: DC
Location Address66990 GRATIOT AVERichmond, MI 48062-1913
Mailing Address6747 Marsh RdCottrellville, MI 48039-2107 · (810) 278-4987
Phone(586) 727-8900
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateJanuary 19, 2026
NPPES CertifiedJanuary 19, 2026
✔ NPI 1578422200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301401689
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.
66990 GRATIOT AVE, Richmond, MI 48062
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Secondary Practice Location 1

Location 167200 Van Dyke Rd Ste 203Washington, MI 48095-1463 · Phone (586) 310-5065

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. Derek Landis Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567944473
PECOS Enrollment IDI20260228000559

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA ANN HANSEN
Massage Therapist
66990 GRATIOT AVE
RICHMOND, MI 48062
Macomb County (586) 727-8900
LANDIS CHIROPRACTIC & WELLNESS PLLC
Clinic/Center
66990 GRATIOT AVE
RICHMOND, MI 48062
Macomb County (586) 727-8900

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 Derek Landis's NPI number?

The NPI number for Derek Landis is 1578422200. It was assigned to this individual provider in the NPPES registry on January 19, 2026.

Where is Derek Landis located?

Derek Landis practices at 66990 Gratiot Ave, Richmond, MI 48062. The listed phone number is (586) 727-8900.

What is Derek Landis's specialty?

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

Is Derek Landis enrolled in Medicare?

Yes. Derek Landis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derek Landis was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.