Michael John Blendl, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301004398 Issued in MI

Practice address

37211 Harper Ave
Suite 9B
Clinton Township, MI 48036-3074

Phone

(586) 463-3103

Fax

(586) 463-5688

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1073664686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37211 HARPER AVE",
            "address_2": "SUITE 9B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363074",
            "telephone_number": "586-463-3103",
            "fax_number": "586-463-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37211 HARPER AVE",
            "address_2": "SUITE 9B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363074",
            "telephone_number": "586-463-3103",
            "fax_number": "586-463-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLENDL",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2113783",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina Bernadette Black
• Alexandra Blair
• Christina Marissa Blake, D.O.
• Charles Blamo II, MSW, LLMSW
• Stephanie Ann Blaszyk
• Martin Bloda, M.D.
• Blue Water Anesthesia Consultants, PC
• Blue Water Psychology, LLC
• Diane Jean Bobcean, LMSW
• Kristin Bock, CRNA

• Chiropractor in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.