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: July 19, 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
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

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


The following 2 providers are registered at the same or a nearby location.

Massage Therapist
66990 GRATIOT AVE
RICHMOND, MI 48062
Clinic/Center
66990 GRATIOT AVE
RICHMOND, MI 48062

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578422200, enumerated as an "individual" on January 19, 2026.

The provider is located at 66990 GRATIOT AVE RICHMOND, MI 48062 and the phone number is (586) 727-8900.

Chiropractor with taxonomy code 111N00000X.