Mosurak Chiropractic & Wellness Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MOSURAK CHIROPRACTIC & WELLNESS CENTER, LLC

Practice address

6201 Chicago Rd
Warren, MI 48092-4755

Phone

(586) 264-3621

NPI assigned

Feb 20, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence Mosurak III, DCNPI 1649669425

Title

Chiropractor/Owner

Phone

(810) 459-9144

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Warren Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence Mosurak III, D.C.

  • Chiropractor
  • Warren, MI
  • NPI 1649669425
  Medicare reassignment NPD Authorized official
• Carrol E Urban, D.C.

  • Chiropractor
  • Warren, MI
  • NPI 1053439695
  NPD (past)
• Ronald M Urban, D.C.

  • Chiropractor
  • Warren, MI
  • NPI 1881710085
  NPD (past)

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1023575586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 GRATIOT AVE",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 CHICAGO RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924755",
            "telephone_number": "586-264-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSURAK CHIROPRACTIC & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "MOSURAK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "810-459-9144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1649669425",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "2301010264",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warren Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bernice Morton
• Erika Moses
• Garnesha P Moss
• Ja'Nisse Moss
• Abed Al-Wahhab Mohammed Mostafa, RN
• Lawrence Mosurak III, D.C.
• Ashifa Motin
• Motor City Chiropractic
• Motor City Lift LLC
• Motor City Podiatry Associates PC

• Chiropractor in Warren, MI
• Providers in Warren, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.