Individual provider Active NPI

Joshua E Shields, DC

  • Chiropractor
  • Livonia, MI
National Provider Identifier
1073549143
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO07556 Issued in GA
Practice address
39111 6 Mile Rd
Suite 160
Livonia, MI 48152-3926
Phone
(678) 520-2747
Fax
(734) 779-1653
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO07556 GA Primary
Chiropractor 111N00000X 2301009850 MI

Addresses

Primary practice location

39111 6 Mile Rd
Suite 160
Livonia, MI 48152-3926

Mailing address

39111 6 Mile Rd
Suite 160
Livonia, MI 48152-3926
Phone (678) 520-2747

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
CHIR007536GAMDChiropractor
CHIRO07556GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Health and Wellness Center, Inc. Chiropractor Past 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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1073549143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39111 6 MILE RD",
            "address_2": "SUITE 160",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523926",
            "telephone_number": "678-520-2747",
            "fax_number": "734-779-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39111 6 MILE RD",
            "address_2": "SUITE 160",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523926",
            "telephone_number": "678-520-2747",
            "fax_number": "734-779-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "JOSHUA",
        "middle_name": "E",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO07556",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009850",
            "primary": false
        }
    ],
    "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 Jul 19, 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.