Individual provider Active NPI

Cecil Isadore Forbes Jr., D.C.

  • Chiropractor
  • Detroit, MI
National Provider Identifier
1255350187
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008994 Issued in MI
Practice address
18984 Livernois Ave
Detroit, MI 48221-4210
Phone
(313) 397-1930
Fax
(313) 397-1977
NPI assigned
Jul 19, 2006
Last updated
Aug 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008994 MI Primary

Addresses

Primary practice location

18984 Livernois Ave
Detroit, MI 48221-4210

Mailing address

18984 Livernois Ave
Detroit, MI 48221-4210
Phone (313) 397-1930

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061025000026 MI Practitioner - Chiropractic 3274530811

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18984 Livernois Ave
Detroit, MI 48221-4210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301008994MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Icare Wellness Group Current Accepting new patients
Quest Health Systems X PLLC Chiropractor PastSince Mar 8, 2022 Accepting new patients

Locations

29984 Telegraph Rd
Southfield, MI 48034
Phone (248) 201-1900

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1255350187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18984 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482214210",
            "telephone_number": "313-397-1930",
            "fax_number": "313-397-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18984 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482214210",
            "telephone_number": "313-397-1930",
            "fax_number": "313-397-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES",
        "first_name": "CECIL",
        "middle_name": "ISADORE",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.