Active NPI
Jwad Chiropractic PLLC
- Chiropractor
- West Bloomfield, MI
National Provider Identifier
1043752629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301010442
- Legal business name
- JWAD CHIROPRACTIC PLLC
- Practice address
- 5378 W Doherty St
West Bloomfield, MI 48323-2708 - Phone
- (248) 885-1581
- NPI assigned
- Nov 14, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin Jwad, D.C.
- Title
- Owner
- Phone
- (248) 885-1581
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301010442 | MI | Primary |
| Acupuncturist | 171100000X | MI |
Addresses
Primary practice location
5378 W Doherty St
West Bloomfield, MI 48323-2708
Mailing address
5378 W Doherty St
West Bloomfield, MI 48323-2708
Phone (248) 885-1581
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479081600000",
"number": "1043752629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5378 W DOHERTY ST",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483232708",
"telephone_number": "248-885-1581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5378 W DOHERTY ST",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483232708",
"telephone_number": "248-885-1581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JWAD CHIROPRACTIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-14",
"last_updated": "2016-11-14",
"status": "A",
"authorized_official_last_name": "JWAD",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-885-1581",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "2301010442",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "MI",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.