NPIMap

Organization Active NPI

Dearborn Spine Center PLLC

  • Chiropractor
  • Dearborn, MI
National Provider Identifier
1083058911
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009962 Issued in MI
Legal business name
DEARBORN SPINE CENTER PLLC
Practice address
9925 Dix
Suite 102
Dearborn, MI 48120-1593
Phone
(313) 841-1470
NPI assigned
Apr 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Dr. Abduldayem Ahmed, D.C.
Title
President
Phone
(313) 841-1470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301009962 MI Primary

Addresses

Primary practice location

9925 Dix
Suite 102
Dearborn, MI 48120-1593

Mailing address

9925 Dix
Suite 102
Dearborn, MI 48120-1593
Phone (313) 841-1470

National Provider Directory

National Provider Directory

Locations

9925 Dix
Ste 102
Dearborn, MI 48120
Phone (313) 377-6396

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1083058911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9925 DIX",
            "address_2": "SUITE 102",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201593",
            "telephone_number": "313-841-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9925 DIX",
            "address_2": "SUITE 102",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201593",
            "telephone_number": "313-841-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN SPINE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ABDULDAYEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-841-1470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.