Individual provider Active NPI

Geoffrey K Sagala, D.C.

  • Rehabilitation Chiropractor
  • Oak Park, MI
National Provider Identifier
1013038629
Registry record updated Jul 8, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(7) exclusion effective Apr 11, 2014.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
2301004989 Issued in MI
Practice address
21580 Greenfield Rd
Oak Park, MI 48237-3006
Phone
(248) 968-9371
Fax
(248) 968-9392
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 2301004989 MI Primary

Addresses

Primary practice location

21580 Greenfield Rd
Oak Park, MI 48237-3006

Mailing address

21580 Greenfield Rd
Oak Park, MI 48237-3006
Phone (248) 968-9371

Other identifiers 1

IdentifierTypeStateIssuer
OF35348OtherMIBCBS OF MI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Flexwove Chiropractic PLLC Current Accepting new patients
Therapy Unlimited, LLC PastSince Jan 12, 2015 Accepting new patients
Quest Health Systems VII, PLLC PastSince Nov 1, 2008 Accepting new patients
Northland Chiropractic Centre, PC PastSince Sep 1, 2004 Accepting new patients
Physician and Feet Specialist, PLLC Past Accepting new patients

Organizations & group practices 5

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013038629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21580 GREENFIELD RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373006",
            "telephone_number": "248-968-9371",
            "fax_number": "248-968-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21580 GREENFIELD RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373006",
            "telephone_number": "248-968-9371",
            "fax_number": "248-968-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGALA",
        "first_name": "GEOFFREY",
        "middle_name": "K",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MI",
            "license": "2301004989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "OF35348",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

Verify at the official NPI Registry.