IndividualActive
Andrew Wideman, D.C.
NPI 1396214326 · Chiropractor · Waterford, MI
Provider details
- NPI number
- 1396214326
- Entity type
- Individual
- Primary specialty
- ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- License
- 2301010737 (MI)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5433 Dixie Hwy Ste 205
Waterford, MI 48329-1614
Phone: (810) 634-0400
Street-level locationGet directions
Mailing address
5433 Dixie Hwy Ste 205
Waterford, MI 48329-1614
Additional practice locations (1)
- 202 W Shiawassee Ave # 100Fenton, MI 48430-2093Phone: (810) 629-6023
Registry dates
- Enumerated
- 2018-11-20
- Last updated
- 2019-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.