Organization Active NPI

Touch of Life P.C.

  • Chiropractor
  • Shelby Township, MI
National Provider Identifier
1255369856
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TOUCH OF LIFE P.C.
Practice address
46755 Hayes Rd
Shelby Township, MI 48315-5507
Phone
(586) 532-5433
Fax
(586) 566-5250
NPI assigned
Jun 30, 2006
Last updated
Jul 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Dr. Edward Carlton McCuiston III, D.C.NPI 1801827712
Title
President
Phone
(586) 532-5433

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

46755 Hayes Rd
Shelby Township, MI 48315-5507

Mailing address

2128 Hillsdale
Shelby Township, MI 48316-1236
Phone (586) 532-5433

Other identifiers 1

IdentifierTypeStateIssuer
BLUE CROSSOtherMI950E013960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101101000951 MI Part B Supplier - Clinic/Group Practice 7618161944 Receives reassigned benefits from 3 practitioners
Practice locations: Shelby Township, MI

National Provider Directory

National Provider Directory

Locations

46755 Hayes Rd
Shelby Township, MI 48315
Phone (586) 532-5433

Practitioners & affiliated clinicians

Practitioners 3

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": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1255369856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 HILLSDALE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483161236",
            "telephone_number": "586-532-5433",
            "fax_number": "586-566-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46755 HAYES RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483155507",
            "telephone_number": "586-532-5433",
            "fax_number": "586-566-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOUCH OF LIFE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "MCCUISTON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "CARLTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-532-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "950E013960",
            "identifier": "BLUE CROSS",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.