NPIMap

Organization Active NPI

Plymouth Chiropractic and Massage Center, PLLC

  • Chiropractor
  • Plymouth, MI
National Provider Identifier
1043063258
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PLYMOUTH CHIROPRACTIC AND MASSAGE CENTER, PLLC
Practice address
1075 Ann Arbor Rd W
Plymouth, MI 48170-2128
Phone
(734) 454-5600
Fax
(734) 454-5696
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Samantha Priano, DCNPI 1386388908
Title
Doctor/Owner
Phone
(734) 454-5600

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1075 Ann Arbor Rd W
Plymouth, MI 48170-2128

Mailing address

1075 Ann Arbor Rd W
Plymouth, MI 48170-2128
Phone (734) 454-5600

Other names 1

  • Wellness Center of Plymouth Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1043063258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 ANN ARBOR RD W",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702128",
            "telephone_number": "734-454-5600",
            "fax_number": "734-454-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 ANN ARBOR RD W",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702128",
            "telephone_number": "734-454-5600",
            "fax_number": "734-454-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH CHIROPRACTIC AND MASSAGE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "PRIANO",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "734-454-5600",
        "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": [
        {
            "organization_name": "Wellness Center of Plymouth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.