Organization Active NPI

Ultimate Wellness Center Inc

  • Family Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1154571651
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Dec 10, 2008

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.