Momentum Spine & Sports MGMT

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MOMENTUM SPINE & SPORTS MGMT

Practice address

26321 Woodward Ave Ste 104
Huntington Woods, MI 48070-1331

Phone

(248) 439-9910

NPI assigned

Aug 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Haroun Fetteh, DC

Title

Owner

Phone

(248) 439-9910

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1003426362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7175",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481217175",
            "telephone_number": "313-790-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26321 WOODWARD AVE STE 104",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701331",
            "telephone_number": "248-439-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM SPINE & SPORTS MGMT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "FETTEH",
        "authorized_official_first_name": "HAROUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-439-9910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Huntington Woods, MI
• Providers in Huntington Woods, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.