Organization Active NPI

Gordon Chiropractic P.C.

  • Chiropractor
  • West Bloomfield, MI
National Provider Identifier
1083818538
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008121 Issued in MI
Legal business name
GORDON CHIROPRACTIC P.C.
Practice address
7887 Cooley Lake Rd
Ste 120
West Bloomfield, MI 48324-3531
Phone
(248) 366-3300
Fax
(248) 366-3396
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Dr. Daniel Steven Gordon, D.C.NPI 1952416240
Title
Owner
Phone
(248) 366-3300

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301008121 MI Primary

Addresses

Primary practice location

7887 Cooley Lake Rd
Ste 120
West Bloomfield, MI 48324-3531

Mailing address

7887 Cooley Lake Rd
Ste 120
West Bloomfield, MI 48324-3531
Phone (248) 366-3300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070703000326 MI Part B Supplier - Clinic/Group Practice 2961502018 Receives reassigned benefits from 1 practitioner
Practice locations: West Bloomfield, MI

National Provider Directory

National Provider Directory

Locations

7887 Cooley Lake Rd
West Bloomfield, MI 48324

7887 Cooley Lake Rd
Ste 120
West Bloomfield, MI 48324
Phone (248) 366-3300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1083818538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7887 COOLEY LAKE RD",
            "address_2": "STE 120",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483243531",
            "telephone_number": "248-366-3300",
            "fax_number": "248-366-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7887 COOLEY LAKE RD",
            "address_2": "STE 120",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483243531",
            "telephone_number": "248-366-3300",
            "fax_number": "248-366-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-366-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.