OrganizationActiveAccepts Medicare
Fountain of Life Chiropractic PC
NPI 1710323993 · Chiropractor · Petoskey, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1710323993
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Justin Fountain, President/Owner(906) 440-9272
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
267 Creekside Dr
Suite 100
Petoskey, MI 49770-7609
Phone: (231) 347-1776
Fax: (231) 347-1778
Street-level locationGet directions
Mailing address
267 Creekside Dr
Petoskey, MI 49770-7609
Registry dates
- Enumerated
- 2013-05-15
- Last updated
- 2013-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.