Spine Doctors of Michigan P.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SPINE DOCTORS OF MICHIGAN P.C

Practice address

2 Michigan Ave W Ste 200
Battle Creek, MI 49017-3621

Phone

(269) 968-9355

Fax

(269) 968-9366

NPI assigned

Jan 16, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Thabo Diata, DCNPI 1114099983

Title

President

Phone

(269) 968-9355

Specialties & licenses 1

Addresses

Practitioners 1

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

• Douglas T Diata, D.C

  • Chiropractor
  • Battle Creek, MI
  • NPI 1114099983
  NPD Authorized official

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1093345217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MICHIGAN AVE W STE 200",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173621",
            "telephone_number": "269-968-9355",
            "fax_number": "269-968-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MICHIGAN AVE W STE 200",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173621",
            "telephone_number": "269-968-9355",
            "fax_number": "269-968-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE DOCTORS OF MICHIGAN P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "DIATA",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "THABO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-968-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stacia Spencer
• Timothy Eugene Spencer Jr., DO
• Sophia Speroff
• Mark Sprague, MA, TLLP
• Shannon Sramek
• Julie S Sre, LPN
• Staa-Residential Services Network LLC
• Eric Stephen Stack, PHARMD, RPH

• Chiropractor in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.