Organization Active NPI

North Shore Injury Center, Inc.

  • Chiropractor
  • Royal Oak, MI
National Provider Identifier
1184985145
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
R220-733-73-085-0 Issued in FL
Legal business name
NORTH SHORE INJURY CENTER, INC.
Practice address
30301 Woodward Ave
Suite 200
Royal Oak, MI 48073-0979
Phone
(248) 430-5340
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Authorized official

Name
James Deweese
Title
President
Phone
(305) 989-2173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X R220-733-73-085-0 FL Primary

Addresses

Primary practice location

30301 Woodward Ave
Suite 200
Royal Oak, MI 48073-0979

Mailing address

30301 Woodward Ave
Suite 200
Royal Oak, MI 48073-0979
Phone (248) 430-5340

National Provider Directory

National Provider Directory

Locations

30301 Woodward Ave
Ste 200
Royal Oak, MI 48073
Phone (248) 288-9922

Practitioners & affiliated clinicians

Practitioners 2

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": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1184985145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30301 WOODWARD AVE",
            "address_2": "SUITE 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730979",
            "telephone_number": "248-430-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30301 WOODWARD AVE",
            "address_2": "SUITE 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730979",
            "telephone_number": "248-430-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE INJURY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "DEWEESE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-989-2173"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "R220-733-73-085-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.