Canton Center Chiropractic Clinic – Chiropractor, NPI 1114919016

Canton Center Chiropractic Clinic is a healthcare provider. based in Canton, Michigan. specializing in Chiropractor. The organization holds a License No. 2301005410 (MI). The NPI Number for Canton Center Chiropractic Clinic is 1114919016

Main info

Organization
Name
Canton Center Chiropractic Clinic
NPI
1114919016
Phone
(734) 455-6767
Address
6231 N CANTON CENTER RD
Authorized Official
ROBERT EDWARD POTTER JR. OWNER DC
Enumeration Date
17 August 2005
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Canton Center Chiropractic Clinic

  • 6231, North Canton Center Road, Canton, Wayne County, Michigan, 48187, United States

    SUITE 109

    CANTON, MI 481872694

    Phone: (734) 455-6767

    Fax: (734) 455-2359

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-04-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20060410000312OClinic/Group PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48187)

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Reviews

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Frequently asked questions

Can I cross-check Canton Center Chiropractic Clinic using NPI 1114919016?
NPI 1114919016 belongs to Canton Center Chiropractic Clinic; compare other details if you need extra assurance.
Is there an active status for Canton Center Chiropractic Clinic?
For scheduling context, Canton Center Chiropractic Clinic is shown as active in the registry.
What clinical focus is listed for Canton Center Chiropractic Clinic?
At a glance, Canton Center Chiropractic Clinic is tied to Chiropractor. Clinical services aligned with this taxonomy classification.
Is Canton Center Chiropractic Clinic located near Canton?
Canton Center Chiropractic Clinic currently maps to Canton, Michigan in this extract.
When was this NPI issued?
Enumeration for Canton Center Chiropractic Clinic is noted as August 17, 2005 where the registry provides it.

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