Organization Active NPI

Michigan Wellness and Injury Center

  • Rehabilitation Chiropractor
  • Garden City, MI
National Provider Identifier
1215522826
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
MICHIGAN WELLNESS AND INJURY CENTER
Practice address
31535 Ford Rd # 300
Garden City, MI 48135-1821
Phone
(786) 380-6652
NPI assigned
Mar 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Authorized official

Name
Dr. Jeanette Diaz, D.CNPI 1861402646
Title
Owner
Phone
(786) 380-6652

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
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

31535 Ford Rd # 300
Garden City, MI 48135-1821

Mailing address

PO Box 430746
Miami, FL 33243-0746

National Provider Directory

National Provider Directory

Locations

31535 Ford Rd
#300
Garden City, MI 48135
Phone (786) 380-6652

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1215522826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430746",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332430746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31535 FORD RD # 300",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351821",
            "telephone_number": "786-380-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN WELLNESS AND INJURY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-380-6652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.