Individual provider Active NPI

Emanuel Buggs

  • Massage Therapist
  • Roseville, MI
National Provider Identifier
1164036885
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501010615 Issued in MI
Practice address
30585 Sandhurst Dr Apt 205
Roseville, MI 48066-7724
Phone
(313) 355-3024
NPI assigned
Sep 1, 2020
Sex
Male
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7501010615MIMDMassage Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501010615 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

30585 Sandhurst Dr Apt 205
Roseville, MI 48066-7724

Mailing address

30585 Sandhurst Dr Apt 205
Roseville, MI 48066-7724
Phone (313) 355-3024

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 1, 2020.

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1164036885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30585 SANDHURST DR APT 205",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480667724",
            "telephone_number": "313-355-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30585 SANDHURST DR APT 205",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480667724",
            "telephone_number": "313-355-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGGS",
        "first_name": "EMANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501010615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.