Individual provider Active NPI

Joseph Galutan Estrada, D.C.

  • Chiropractor
  • Sterling Heights, MI
National Provider Identifier
1144747130
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010586 Issued in MI
Practice address
4105 Metropolitan Pkwy Ste 101
Sterling Heights, MI 48310-7503
Phone
(586) 939-1003
Fax
(586) 939-3862
NPI assigned
Aug 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010586 MI Primary

Addresses

Primary practice location

4105 Metropolitan Pkwy Ste 101
Sterling Heights, MI 48310-7503

Mailing address

690 Amsterdam St
Detroit, MI 48202-3410
Phone (313) 651-1910

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180830002206 MI Practitioner - Chiropractic 4688924343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Complementary and Integrative MedicineGroup PAC ID 8921063165, 6 clinicians

Practice addresses (Care Compare)

40000 8 Mile Rd
Northville, MI 48167-2134
Phone (248) 380-6201

4105 Metropolitan Pkwy
Suite 101
Sterling Heights, MI 48310-7503
Phone (586) 939-1003

Hospital & facility affiliations

  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010586MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Greatlakes Chiropractic Chiropractor Current Accepting new patients
Great Lakes Chiropractic, P.C. CurrentSince Apr 3, 2022 Accepting new patients
New Leaf Chiropractic, LLC Chiropractor CurrentSince Sep 13, 2022 Accepting new patients
Center for Complementary and Integrative Medicine Chiropractor CurrentSince Feb 23, 2024 Accepting new patients

Locations

690 Amsterdam St
Detroit, MI 48202
Phone (313) 623-2109

40000 8 Mile Rd
Northville, MI 48167
Phone (248) 380-6200

4105 Metropolitan Pkwy
Ste 101
Sterling Hts, MI 48310
Phone (586) 939-1003

Interoperability endpoints

  • Direct secure messaging: jestrada984149@direct.hfhs.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1144747130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 AMSTERDAM ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023410",
            "telephone_number": "313-651-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 METROPOLITAN PKWY STE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483107503",
            "telephone_number": "586-939-1003",
            "fax_number": "586-939-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "JOSEPH",
        "middle_name": "GALUTAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-29",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.