NPIMap

Organization Active NPI

Livonia Back to Health Chiropractic PC

  • Chiropractor
  • Livonia, MI
National Provider Identifier
1083897896
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008458 Issued in MI
Legal business name
LIVONIA BACK TO HEALTH CHIROPRACTIC PC
Practice address
16801 Newburgh Rd
Suite 109
Livonia, MI 48154-1606
Phone
(734) 432-7071
Fax
(734) 432-7940
NPI assigned
Dec 14, 2007
Last updated
Dec 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Dr. Jason Lawlor, DCNPI 1396719522
Title
President
Phone
(734) 432-7071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008458 MI Primary

Addresses

Primary practice location

16801 Newburgh Rd
Suite 109
Livonia, MI 48154-1606

Mailing address

16801 Newburgh Rd
Suite 109
Livonia, MI 48154-1606
Phone (734) 432-7071

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1083897896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16801 NEWBURGH RD",
            "address_2": "SUITE 109",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541606",
            "telephone_number": "734-432-7071",
            "fax_number": "734-432-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16801 NEWBURGH RD",
            "address_2": "SUITE 109",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541606",
            "telephone_number": "734-432-7071",
            "fax_number": "734-432-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVONIA BACK TO HEALTH CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "LAWLOR",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-432-7071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.