Organization Active NPI

Spine Care Associates PLLC

  • Chiropractor
  • Troy, MI
National Provider Identifier
1285878264
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004983 Issued in MI
Legal business name
SPINE CARE ASSOCIATES PLLC
Practice address
1977 E Wattles Rd Ste a
Troy, MI 48085-5047
Phone
(248) 524-9100
Fax
(248) 524-0614
NPI assigned
Apr 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Renee Noomie
Title
President
Phone
(248) 524-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301004983 MI Primary

Addresses

Primary practice location

1977 E Wattles Rd Ste a
Troy, MI 48085-5047

Mailing address

1977 E Wattles Rd Ste a
Troy, MI 48085-5047
Phone (248) 524-9100

National Provider Directory

National Provider Directory

Locations

1977 E Wattles Rd
Ste A
Troy, MI 48085
Phone (248) 524-9100

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1285878264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1977 E WATTLES RD STE A",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480855047",
            "telephone_number": "248-524-9100",
            "fax_number": "248-524-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1977 E WATTLES RD STE A",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480855047",
            "telephone_number": "248-524-9100",
            "fax_number": "248-524-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CARE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "NOOMIE",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-524-9100"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.