Organization Active NPI

Ypsilanti Chiropractic Life Center, P.C.

  • Chiropractor
  • Ypsilanti, MI
National Provider Identifier
1255540332
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301002421 Issued in MI
Legal business name
YPSILANTI CHIROPRACTIC LIFE CENTER, P.C.
Practice address
1145 Ecorse Rd
Ypsilanti, MI 48198-5822
Phone
(734) 482-8005
Fax
(734) 482-8006
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert L Gehly, D.C.
Title
President
Phone
(734) 482-8005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301002421 MI Primary

Addresses

Primary practice location

1145 Ecorse Rd
Ypsilanti, MI 48198-5822

Mailing address

PO Box 980709
Ypsilanti, MI 48198-0709
Phone (734) 482-8005

National Provider Directory

National Provider Directory

Locations

1145 Ecorse Rd
Ypsilanti, MI 48198
Phone (734) 482-8005

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255540332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980709",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481980709",
            "telephone_number": "734-482-8005",
            "fax_number": "734-482-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 ECORSE RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985822",
            "telephone_number": "734-482-8005",
            "fax_number": "734-482-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YPSILANTI CHIROPRACTIC LIFE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEHLY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-482-8005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301002421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.