Individual provider Active NPI

Suby Jacob Thomas, D.C.

  • Chiropractor
  • Northville, MI
National Provider Identifier
1275622151
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008561 Issued in MI
Practice address
670 Griswold St Ste 200
Northville, MI 48167-2687
Phone
(248) 912-0075
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008561 MI Primary

Addresses

Primary practice location

670 Griswold St Ste 200
Northville, MI 48167-2687

Mailing address

18885 Stonewater Blvd
Northville, MI 48168-8557
Phone (248) 912-0075

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040310000202 MI Practitioner - Chiropractic 0840185708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

670 Griswold St
Suite 200
Northville, MI 48167-2602
Phone (248) 912-0075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301008561MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Chiropractic Corp Chiropractor CurrentSince Feb 17, 2011 Accepting new patients
Alternative Rehab, Inc PastSince Aug 29, 2005 Accepting new patients

Locations

20319 Farmington Rd
Bldg E
Livonia, MI 48152
Phone (248) 476-8911

670 Griswold St
Ste 200
Northville, MI 48167
Phone (248) 912-0075

145 E Cady St
Northville, MI 48167
Phone (248) 719-5712

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1275622151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18885 STONEWATER BLVD",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688557",
            "telephone_number": "248-912-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 GRISWOLD ST STE 200",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481672687",
            "telephone_number": "248-912-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SUBY",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.