Organization Active NPI

Robinson Chiropractic & Personal Fitness Center PC

  • Chiropractor
  • Southfield, MI
National Provider Identifier
1184818445
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008020 Issued in MI
Legal business name
ROBINSON CHIROPRACTIC & PERSONAL FITNESS CENTER PC
Practice address
23077 Greenfield Rd
Suite 260
Southfield, MI 48075-3709
Phone
(248) 443-5545
Fax
(248) 443-5560
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Mrs. Marcie A. Robinson
Title
Office Manager
Phone
(248) 443-5545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301008020 MI Primary

Addresses

Primary practice location

23077 Greenfield Rd
Suite 260
Southfield, MI 48075-3709

Mailing address

PO Box 1000
Southfield, MI 48037-1000
Phone (248) 443-5545

Other identifiers 2

IdentifierTypeStateIssuer
4379382MedicaidMI
950F341760OtherMIBCBSM PIN

National Provider Directory

National Provider Directory

Locations

25900 Greenfield Rd
Ste 252
Oak Park, MI 48237
Phone (248) 850-8690

25130 Southfield Rd
Ste 209
Southfield, MI 48075
Phone (248) 443-5545

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1184818445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480371000",
            "telephone_number": "248-443-5545",
            "fax_number": "248-443-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD",
            "address_2": "SUITE 260",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753709",
            "telephone_number": "248-443-5545",
            "fax_number": "248-443-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBINSON CHIROPRACTIC & PERSONAL FITNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-443-5545",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4379382",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN",
            "identifier": "950F341760",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.