NPIMap

Organization Active NPI

Mediterranean Association PLLC

Doing business as East Detroit Chiropractic Center

  • Chiropractor
  • Clinton TWP, MI
National Provider Identifier
1154560571
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MEDITERRANEAN ASSOCIATION PLLC
Doing business as
East Detroit Chiropractic Center
Practice address
35525 Garfield Rd
Suite B
Clinton TWP, MI 48035-5521
Phone
(586) 477-1800
Fax
(586) 477-1815
NPI assigned
Feb 9, 2009
Last updated
Aug 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Dr. John M Dimasi, DCNPI 1073510434
Title
Owner
Phone
(586) 477-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

35525 Garfield Rd
Suite B
Clinton TWP, MI 48035-5521

Mailing address

35525 Garfield Rd
Suite B
Clinton TWP, MI 48035-5521
Phone (586) 477-1800

Other names 1

  • East Detroit Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110316000783 MI Part B Supplier - Clinic/Group Practice 1456533199 Receives reassigned benefits from 4 practitioners
Practice locations: Clinton Township, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1154560571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35525 GARFIELD RD",
            "address_2": "SUITE B",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480355521",
            "telephone_number": "586-477-1800",
            "fax_number": "586-477-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35525 GARFIELD RD",
            "address_2": "SUITE B",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480355521",
            "telephone_number": "586-477-1800",
            "fax_number": "586-477-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDITERRANEAN ASSOCIATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "DIMASI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-477-1800",
        "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": [
        {
            "organization_name": "East Detroit Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.