Organization Active NPI

Jeremiah M Shaft DC PLLC

  • Chiropractor
  • Canton, MI
National Provider Identifier
1073393005
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JEREMIAH M SHAFT DC PLLC
Practice address
8584 N Canton Center Rd
Canton, MI 48187-1310
Phone
(734) 455-3933
NPI assigned
Oct 5, 2023
Organization subpart
Yes
Parent organization
JEREMIAH M SHAFT DC PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Jeremiah Michael Shaft
Title
President
Phone
(734) 941-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

8584 N Canton Center Rd
Canton, MI 48187-1310

Mailing address

PO Box 74126
Romulus, MI 48174-0126
Phone (734) 941-2211

Other names 1

  • True Health Chiropractic Canton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jeremiah M Shaft DC PLLC3 organizations share this tax ID, including this one
Part of
Jeremiah M Shaft DC PLLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1073393005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74126",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481740126",
            "telephone_number": "734-941-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8584 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871310",
            "telephone_number": "734-455-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMIAH M SHAFT DC PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEREMIAH M SHAFT DC PLLC",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "SHAFT",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-941-2211"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True Health Chiropractic Canton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.