Organization Active NPI

Johr Chiropractic Center, LLC

  • Chiropractor
  • Saint Clair Shores, MI
National Provider Identifier
1083741482
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008444 Issued in MI
Legal business name
JOHR CHIROPRACTIC CENTER, LLC
Practice address
27200 Harper Ave
Suite B
Saint Clair Shores, MI 48081-1909
Phone
(586) 774-6332
Fax
(586) 774-5144
NPI assigned
Feb 27, 2007
Last updated
Dec 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Dr. Michael Charles Johr, D.CNPI 1750326005
Title
Owner
Phone
(586) 774-6332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008444 MI Primary

Addresses

Primary practice location

27200 Harper Ave
Suite B
Saint Clair Shores, MI 48081-1909

Mailing address

27200 Harper Ave
Suite B
Saint Clair Shores, MI 48081-1909
Phone (586) 774-6332

Other identifiers 2

IdentifierTypeStateIssuer
1750326005OtherMIINDIVIDUAL NPI
0E01694OtherMIBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050707000728 MI Part B Supplier - Clinic/Group Practice 3678519071 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Clair Shores, MI

National Provider Directory

National Provider Directory

Locations

27200 Harper Ave
Ste B
St Clr Shores, MI 48081
Phone (586) 774-6332

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1083741482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27200 HARPER AVE",
            "address_2": "SUITE B",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811909",
            "telephone_number": "586-774-6332",
            "fax_number": "586-774-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27200 HARPER AVE",
            "address_2": "SUITE B",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811909",
            "telephone_number": "586-774-6332",
            "fax_number": "586-774-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHR CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "JOHR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-774-6332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1750326005",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0E01694",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.