NPIMap

Organization Active NPI

C.a.R.E. Chiropractic

  • Chiropractor
  • Detroit, MI
National Provider Identifier
1063431963
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006844 Issued in MI
Legal business name
C.A.R.E. CHIROPRACTIC
Practice address
15 E Kirby St
Suite 111
Detroit, MI 48202-4047
Phone
(313) 575-2947
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Dr. Soni Wilson, DCNPI 1518989979
Title
President
Phone
(313) 575-2947

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 006844 MI Primary

Addresses

Primary practice location

15 E Kirby St
Suite 111
Detroit, MI 48202-4047

Mailing address

15 E Kirby St
Suite 111
Detroit, MI 48202-4047

Other identifiers 1

IdentifierTypeStateIssuer
4840358MedicaidMI

National Provider Directory

National Provider Directory

Locations

15 E Kirby St
Ste 111
Detroit, MI 48202
Phone (313) 575-2947

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1063431963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E KIRBY ST",
            "address_2": "SUITE 111",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482024047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E KIRBY ST",
            "address_2": "SUITE 111",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482024047",
            "telephone_number": "313-575-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.A.R.E. CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SONI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-575-2947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "006844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4840358",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.