Individual provider Active NPI

Robert James Gregg, D.C.

  • Chiropractor
  • Garden City, MI
National Provider Identifier
1083774947
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301002537 Issued in MI
Practice address
1647 Inkster Rd
Garden City, MI 48135-3086
Phone
(734) 525-8422
Fax
(723) 525-5421
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301002537 MI Primary

Addresses

Primary practice location

1647 Inkster Rd
Garden City, MI 48135-3086

Mailing address

1647 Inkster Rd
Garden City, MI 48135-3086
Phone (734) 525-8422

Other identifiers 1

IdentifierTypeStateIssuer
1008872MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050829000267 MI Practitioner - Chiropractic 6305801192 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gregg Chiropractic Life Center PCGroup PAC ID 9133184922, 2 clinicians

Practice addresses (Care Compare)

1647 Inkster Rd
Garden City, MI 48135-3086
Phone (734) 525-8422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gregg Chiropractic Life Center P.C. Chiropractor CurrentSince Jan 1, 1990 Accepting new patients
Gregg Chiropractic Troy, P.C. Chiropractor CurrentSince Nov 1, 2022 Accepting new patients
McCartney Family Chiropractic and Wellness PC Chiropractor PastSince Jun 5, 2014 Accepting new patients

Locations

5130 Coolidge Hwy
#120
Royal Oak, MI 48073
Phone (248) 288-9500

215 E Big Beaver Rd
Ste 400
Troy, MI 48083
Phone (248) 435-0925

Organizations & group practices 3

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083774947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481353086",
            "telephone_number": "734-525-8422",
            "fax_number": "723-525-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481353086",
            "telephone_number": "734-525-8422",
            "fax_number": "723-525-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301002537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008872",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.