NPIMap

Organization Active NPI

Shields Infinity Holistic Health Inc.

  • Chiropractor
  • Livonia, MI
National Provider Identifier
1104854629
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SHIELDS INFINITY HOLISTIC HEALTH INC.
Doing business as
Integrative Wellness Centers
Practice address
39111 6 Mile Rd
Suite 160
Livonia, MI 48152-3926
Phone
(734) 779-1650
Fax
(734) 769-1650
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Authorized official

Name
Joshua E Shields, DC
Title
Owner
Phone
(678) 520-2747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

39111 6 Mile Rd
Suite 160
Livonia, MI 48152-3926

Mailing address

24430 Bethany Way
Novi, MI 48375-2820
Phone (734) 779-1650

Other names 1

  • Integrative Wellness Centers Doing business as

National Provider Directory

National Provider Directory

Locations

39111 6 Mile Rd
Ste 160
Livonia, MI 48152
Phone (678) 520-2747

Practitioners & affiliated clinicians

Practitioners 4

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": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1104854629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24430 BETHANY WAY",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752820",
            "telephone_number": "734-779-1650",
            "fax_number": "734-769-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39111 6 MILE RD",
            "address_2": "SUITE 160",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523926",
            "telephone_number": "734-779-1650",
            "fax_number": "734-769-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELDS INFINITY HOLISTIC HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-520-2747",
        "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": [
        {
            "organization_name": "Integrative Wellness Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 20, 2012; 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.