Active NPI
Ultimate Wellness Center Inc
- Family Medicine Physician
- Farmington Hills, MI
National Provider Identifier
1154571651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ULTIMATE WELLNESS CENTER INC
- Practice address
- 30852 W 10 Mile Rd
Farmington Hills, MI 48336-2606 - Phone
- (248) 477-0112
- Fax
- (248) 477-9365
- NPI assigned
- Sep 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dorris V Coca-Soto, M.D.
- Title
- President
- Phone
- (248) 477-0112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
30852 W 10 Mile Rd
Farmington Hills, MI 48336-2606
Mailing address
30852 W 10 Mile Rd
Farmington Hills, MI 48336-2606
Phone (248) 477-0112
Other names 1
- Doris V Coca-Soto
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228867200000",
"number": "1154571651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30852 W 10 MILE RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483362606",
"telephone_number": "248-477-0112",
"fax_number": "248-477-9365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30852 W 10 MILE RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483362606",
"telephone_number": "248-477-0112",
"fax_number": "248-477-9365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ULTIMATE WELLNESS CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-22",
"last_updated": "2008-12-10",
"status": "A",
"authorized_official_last_name": "COCA-SOTO",
"authorized_official_first_name": "DORRIS",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-477-0112",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Doris V Coca-Soto",
"code": "5",
"type": "Other Name"
}
]
}
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 Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.