Organization Active NPI

Ira Chiro PC

  • Chiropractor
  • Ira, MI
National Provider Identifier
1184801110
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
SS007675 Issued in MI
Legal business name
IRA CHIRO PC
Practice address
8806 Dixie Hwy
Ira, MI 48023-2473
Phone
(586) 725-7000
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Stephen Smith, DCNPI 1871673368
Title
Owner
Phone
(586) 725-7000

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 SS007675 MI Primary

Addresses

Primary practice location

8806 Dixie Hwy
Ira, MI 48023-2473

Mailing address

8806 Dixie Hwy
Ira, MI 48023-2473
Phone (586) 725-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080213000120 MI Part B Supplier - Clinic/Group Practice 1759464845 Receives reassigned benefits from 1 practitioner
Practice locations: Ira, MI

National Provider Directory

National Provider Directory

Locations

8806 Dixie Hwy
Ira, MI 48023
Phone (586) 725-7000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1184801110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8806 DIXIE HWY",
            "city": "IRA",
            "state": "MI",
            "postal_code": "480232473",
            "telephone_number": "586-725-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8806 DIXIE HWY",
            "city": "IRA",
            "state": "MI",
            "postal_code": "480232473",
            "telephone_number": "586-725-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRA CHIRO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-725-7000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "SS007675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ira, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.