Organization Active NPI

Levine Chiropractic of Farmington Hills P.C.

  • Chiropractor
  • Farmington Hills, MI
National Provider Identifier
1154441228
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005201 Issued in MI
Legal business name
LEVINE CHIROPRACTIC OF FARMINGTON HILLS P.C.
Practice address
31390 Northwestern Hwy
Suite C.
Farmington Hills, MI 48334-2561
Phone
(248) 855-2666
Fax
(248) 855-6460
NPI assigned
Mar 30, 2007
Last updated
May 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Authorized official

Name
Rene Joyce Dunham
Title
Office Manager
Phone
(248) 855-2666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 005201 MI Primary

Addresses

Primary practice location

31390 Northwestern Hwy
Suite C.
Farmington Hills, MI 48334-2561

Mailing address

31390 Northwestern Hwy
Suite C.
Farmington Hills, MI 48334-2561
Phone (248) 855-2666

Other identifiers 3

IdentifierTypeStateIssuer
950F352350OtherMIBLUE CROSS PIN
950F326960OtherMABLUE CROSS GROUP PIN
950F335790OtherMIBLUE CROSS PIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050803000560 MI Part B Supplier - Clinic/Group Practice 6901834514 Receives reassigned benefits from 3 practitioners
Practice locations: Farmington Hills, MI

National Provider Directory

National Provider Directory

Locations

31390 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 855-2666

Practitioners & affiliated clinicians

Practitioners 3

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1154441228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31390 NORTHWESTERN HWY",
            "address_2": "SUITE C.",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342561",
            "telephone_number": "248-855-2666",
            "fax_number": "248-855-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31390 NORTHWESTERN HWY",
            "address_2": "SUITE C.",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342561",
            "telephone_number": "248-855-2666",
            "fax_number": "248-855-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVINE CHIROPRACTIC OF FARMINGTON HILLS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-855-2666"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "005201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PIN",
            "identifier": "950F352350",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP PIN",
            "identifier": "950F326960",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PIN",
            "identifier": "950F335790",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.