James R. Muldoon DC PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009804 Issued in MI

Legal business name

JAMES R. MULDOON DC PLLC

Practice address

29680 S Wixom Rd
Wixom, MI 48393-3430

Phone

(248) 892-7246

Fax

(248) 869-6000

NPI assigned

Jan 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. James Ross Muldoon, D.C.

Title

Owner

Phone

(248) 892-7246

Specialties & licenses 1

Addresses

Other names 1

• NeuroLogic Chiropractic Care Other name

Locations

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1043632607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29680 S WIXOM RD",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483933430",
            "telephone_number": "248-892-7246",
            "fax_number": "248-869-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29680 S WIXOM RD",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483933430",
            "telephone_number": "248-892-7246",
            "fax_number": "248-869-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R. MULDOON DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "MULDOON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-892-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroLogic Chiropractic Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.