Individual provider Active NPI

Richard J Mirowski, P.C

  • Chiropractor
  • Clinton Township, MI
National Provider Identifier
1174665103
Registry record updated Apr 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301006964 Issued in MI
Practice address
37211 Harper Ave
Ste 9B
Clinton Township, MI 48036-3074
Phone
(586) 668-4234
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301006964 MI Primary

Addresses

Primary practice location

37211 Harper Ave
Ste 9B
Clinton Township, MI 48036-3074

Mailing address

37211 Harper Ave
Ste 9B
Clinton Township, MI 48036-3074
Phone (586) 668-4234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110215001037 MI Practitioner - Chiropractic 2769662204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

37211 Harper Ave
Suite 9B
Clinton Township, MI 48036-3074
Phone (586) 668-4234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301006964MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mirowski Chiropractic Inc Chiropractor CurrentSince Sep 1, 2000 Accepting new patients
Chiropractic First of Michigan PLLC Chiropractor CurrentSince Mar 4, 2021 Accepting new patients

Locations

35426 Harper Ave
Clinton Twp, MI 48035
Phone (586) 668-4234

37211 Harper Ave
Ste 9B
Clinton Twp, MI 48036
Phone (586) 463-3103

15700 E 9 Mile Rd
Eastpointe, MI 48021
Phone (586) 772-7770

30838 Schoenherr Rd
Warren, MI 48088
Phone (586) 776-4000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619222400000",
    "number": "1174665103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37211 HARPER AVE",
            "address_2": "STE 9B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363074",
            "telephone_number": "586-668-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37211 HARPER AVE",
            "address_2": "STE 9B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363074",
            "telephone_number": "586-668-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIROWSKI",
        "first_name": "RICHARD",
        "middle_name": "J",
        "credential": "P.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2021-04-24",
        "certification_date": "2021-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.