Individual provider Active NPI

Harry Drussel II, D.C.

  • Chiropractor
  • Livonia, MI
National Provider Identifier
1053770529
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
23001010399 Issued in MI
Practice address
11837 Merriman Rd
Livonia, MI 48150-1924
Phone
(734) 421-0101
NPI assigned
Feb 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 23001010399 MI Primary

Addresses

Primary practice location

11837 Merriman Rd
Livonia, MI 48150-1924

Mailing address

11837 Merriman Rd
Livonia, MI 48150-1924
Phone (734) 421-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23001010399MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Recovered Chiropractic PastSince May 5, 2017 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1053770529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11837 MERRIMAN RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501924",
            "telephone_number": "734-421-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11837 MERRIMAN RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501924",
            "telephone_number": "734-421-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUSSEL",
        "first_name": "HARRY",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "23001010399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.