Individual provider Active NPI

Jason Dennis Tagai, DOCTOR OF CHIROPRACT

  • Chiropractor
  • Chesterfield, MI
National Provider Identifier
1003079716
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009467 Issued in MI
Practice address
28041 Carriage Way Dr
Chesterfield, MI 48051-2101
Phone
(586) 948-7246
Fax
(586) 948-2748
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009467 MI Primary

Addresses

Primary practice location

28041 Carriage Way Dr
Chesterfield, MI 48051-2101

Mailing address

28041 Carriage Way Dr
Chesterfield, MI 48051-2101
Phone (586) 948-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170525001011 MI Practitioner - Chiropractic 0840567772 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DCG Holdings PLLCGroup PAC ID 0042598724, 3 clinicians

Practice addresses (Care Compare)

8336 Hilton Rd
Suite 100
Brighton, MI 48114-5015
Phone (810) 225-2288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Bridget a. Devlin, PLLC Chiropractor CurrentSince May 2, 2017 Accepting new patients
DCG Holdings PLLC Chiropractor CurrentSince Oct 17, 2022 Accepting new patients
Chesterfield Family Chiropractic Center PC Chiropractor PastSince May 20, 2008 Accepting new patients

Locations

8336 Hilton Rd
Ste 100
Brighton, MI 48114
Phone (810) 225-2288

569 E 9 Mile Rd
Ferndale, MI 48220
Phone (248) 298-3100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1003079716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28041 CARRIAGE WAY DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512101",
            "telephone_number": "586-948-7246",
            "fax_number": "586-948-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28041 CARRIAGE WAY DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512101",
            "telephone_number": "586-948-7246",
            "fax_number": "586-948-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGAI",
        "first_name": "JASON",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF CHIROPRACT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.