Community Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

23010008454 Issued in MI

Legal business name

COMMUNITY CHIROPRACTIC LLC

Practice address

5901 W Vernor Hwy
Detroit, MI 48209-2180

Phone

(313) 554-4357

Fax

(313) 554-1565

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rashad Saleh, DC

Title

Director

Phone

(313) 574-1191

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Vernor Chiropractic Clinic Doing business as

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1154504694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092180",
            "telephone_number": "313-554-4357",
            "fax_number": "313-554-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092180",
            "telephone_number": "313-554-4357",
            "fax_number": "313-554-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "SALEH",
        "authorized_official_first_name": "RASHAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-574-1191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "23010008454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4453846",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407966104",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vernor Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Detroit, MI
• Providers in Detroit, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.