VAN BORN CHIROPRACTIC CLINIC, P.C.
NPI 1821047861
Chiropractor in Dearborn Heights, MI
About Van Born Chiropractic Clinic, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VAN BORN CHIROPRACTIC CLINIC, P.C. (NPI 1821047861) is a healthcare organization registered as a chiropractor in Dearborn Heights, Michigan and active in the NPI registry since May 2006. The organization lists Renee Irene Pethtel, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Van Born Chiropractic Clinic, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Van Born Chiropractic Clinic, P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Van Born Chiropractic Clinic, P.C.'s NPI number?
The NPI number for Van Born Chiropractic Clinic, P.C. is 1821047861. It was assigned to this organization in the NPPES registry on May 8, 2006.
Where is Van Born Chiropractic Clinic, P.C. located?
Van Born Chiropractic Clinic, P.C. is located at 23610 Van Born Rd, Dearborn Heights, MI 48125. The listed phone number is (313) 291-1060.
What is Van Born Chiropractic Clinic, P.C.'s specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Van Born Chiropractic Clinic, P.C. enrolled in Medicare?
Yes. Van Born Chiropractic Clinic, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Van Born Chiropractic Clinic, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Van Born Chiropractic Clinic, P.C.. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Van Born Chiropractic Clinic, P.C. accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Van Born Chiropractic Clinic, P.C. 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 Van Born Chiropractic Clinic, P.C. was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Van Born Chiropractic Clinic, P.c. · NPI 1821047861
Chiropractor organization in Dearborn Heights, Michigan. Organization record, active in the CMS NPPES registry since May 8, 2006.
## Identity
- **NPI:** 1821047861 (Entity type: Organization)
- **Enumerated:** May 8, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Renee Pethtel, PRESIDENT
## Practice location
- **Address:** 23610 VAN BORN RD, Dearborn Heights, MI 48125-2356
- **Phone:** (313) 291-1060 · **Fax:** (313) 291-1089
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2024
- **Other identifiers:** Other 0Q24591 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1821047861) · Data from the CMS NPPES public registry.