Individual provider Active NPI

Richard Mack Newman, D.C.

  • Chiropractor
  • Novi, MI
National Provider Identifier
1275747164
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
RN003080 Issued in MI
Practice address
39575 W 10 Mile Rd
Suite 201
Novi, MI 48375-2949
Phone
(248) 477-1240
Fax
(248) 477-1241
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X RN003080 MI Primary

Addresses

Primary practice location

39575 W 10 Mile Rd
Suite 201
Novi, MI 48375-2949

Mailing address

39575 10 Mile Road
Suite 201
Novi, MI 48375-2949
Phone (248) 477-1240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN003080MIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275747164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39575 10 MILE ROAD",
            "address_2": "SUITE 201",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752949",
            "telephone_number": "248-477-1240",
            "fax_number": "248-477-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39575 W 10 MILE RD",
            "address_2": "SUITE 201",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752949",
            "telephone_number": "248-477-1240",
            "fax_number": "248-477-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "RICHARD",
        "middle_name": "MACK",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "RN003080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.