NPIMap

Organization Active NPI

Douglas a. Yaraschuk, P.C.

  • Chiropractor
  • Redford, MI
National Provider Identifier
1255593182
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004938 Issued in MI
Legal business name
DOUGLAS A. YARASCHUK, P.C.
Practice address
24801 5 Mile Rd
Suite 22
Redford, MI 48239-3655
Phone
(313) 387-8122
Fax
(313) 387-8123
NPI assigned
Jul 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Dr. Douglas Alexander Yaraschuk, D.C.NPI 1912907296
Title
President
Phone
(313) 387-8122

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 2301004938 MI Primary

Addresses

Primary practice location

24801 5 Mile Rd
Suite 22
Redford, MI 48239-3655

Mailing address

24801 5 Mile Rd
Suite 22
Redford, MI 48239-3655
Phone (313) 387-8122

Other names 1

  • Redford Chiropractic Centre Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1255593182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24801 5 MILE RD",
            "address_2": "SUITE 22",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393655",
            "telephone_number": "313-387-8122",
            "fax_number": "313-387-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24801 5 MILE RD",
            "address_2": "SUITE 22",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393655",
            "telephone_number": "313-387-8122",
            "fax_number": "313-387-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS A. YARASCHUK, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "YARASCHUK",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-387-8122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redford Chiropractic Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.