Active NPI
South Lyon Chiropractic PLLC
- Chiropractor
- South Lyon, MI
National Provider Identifier
1073812293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301009723
- Legal business name
- SOUTH LYON CHIROPRACTIC PLLC
- Practice address
- 327 N Lafayette St
South Lyon, MI 48178-4002 - Phone
- (734) 306-2454
- NPI assigned
- Mar 28, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jamie J Penn, D.C.
- Title
- President
- Phone
- (734) 306-2454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301009723 | MI | Primary |
Addresses
Primary practice location
327 N Lafayette St
South Lyon, MI 48178-4002
Mailing address
7838 5 Mile Rd
Northville, MI 48168-9448
Phone (734) 306-2454
National Provider Directory
National Provider DirectoryLocations
3875 Packard St
Ann Arbor, MI 48108
Phone (734) 971-2225
327 N Lafayette St
South Lyon, MI 48178
Phone (248) 486-1411
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Grand Rapids, MI
- NPI 1255718839
-
- Chiropractor
- Ann Arbor, MI
- NPI 1922113513
-
- Chiropractor
- Ann Arbor, MI
- NPI 1558617688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334188800000",
"number": "1073812293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7838 5 MILE RD",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481689448",
"telephone_number": "734-306-2454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 N LAFAYETTE ST",
"city": "SOUTH LYON",
"state": "MI",
"postal_code": "481784002",
"telephone_number": "734-306-2454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH LYON CHIROPRACTIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-28",
"last_updated": "2012-04-12",
"status": "A",
"authorized_official_last_name": "PENN",
"authorized_official_first_name": "JAMIE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "734-306-2454",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "2301009723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Lyon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.