Organization Active NPI

Jwad Chiropractic PLLC

  • Chiropractor
  • West Bloomfield, MI
National Provider Identifier
1043752629
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010442 Issued in MI
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

Updated by the provider on Nov 14, 2016

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2301010442 MI Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.