Organization Active NPI

Greatlakes Chiropractic

  • Chiropractor
  • Sterling Heights, MI
National Provider Identifier
1033878038
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GREATLAKES CHIROPRACTIC
Practice address
4105 Metro Pkwy Ste 101
Sterling Heights, MI 48310-7503
Phone
(586) 939-1003
Fax
(586) 939-3862
NPI assigned
Dec 17, 2021
Last updated
Dec 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Dr. Joseph Estrada, DCNPI 1144747130
Title
Owner
Phone
(586) 939-1003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

4105 Metro Pkwy Ste 101
Sterling Heights, MI 48310-7503

Mailing address

4105 Metro Pkwy Ste 101
Sterling Heights, MI 48310-7503
Phone (586) 939-1003

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1033878038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 METRO PKWY STE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483107503",
            "telephone_number": "586-939-1003",
            "fax_number": "586-939-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 METRO PKWY STE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483107503",
            "telephone_number": "586-939-1003",
            "fax_number": "586-939-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATLAKES CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-939-1003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.