Desira Chiropractic Life Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2301005025 Issued in MI

Legal business name

DESIRA CHIROPRACTIC LIFE CENTER LLC

Practice address

33250 Warren Rd
Westland, MI 48185-2920

Phone

(734) 422-7800

NPI assigned

Jan 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Richard Gerard Desira, DC

Title

Director

Phone

(734) 422-7800

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Carl John Trupp III, D.C.

  • Chiropractor
  • Livonia, MI
  • NPI 1841314614
  NPD (past)

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1205012523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33250 WARREN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852920",
            "telephone_number": "734-422-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33250 WARREN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852920",
            "telephone_number": "734-422-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIRA CHIROPRACTIC LIFE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "DESIRA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "734-422-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "2301005025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4951482",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MICHIGAN",
            "identifier": "95OH225380",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Anthony Demott, MA, LPC
• Amanda Nikolee Dennis-Shareef, MSW
• Monica Grace Denny
• Gail Frances Denuccio, D. O.
• Louise Stephanie Dery, L.M.S.W
• Richard Gerard Desira, DC
• Mikku Deswal
• Danielle Deveson, LMSW
• Siraj Dghaily, RPH
• Diamond Star Medical Supply

• Clinic/Center in Westland, MI
• Providers in Westland, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.