Jettie Chiropractic Center P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

RJ004377 Issued in MI

Legal business name

JETTIE CHIROPRACTIC CENTER P.C.

Practice address

30405 W 12 Mile Rd
Farmington Hills, MI 48334-3805

Phone

(248) 477-5255

Fax

(248) 474-4383

NPI assigned

Jul 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ronald C Jettie, D.C.NPI 1275632218

Title

Doctor of Chiropractic

Phone

(248) 477-5255

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• Ronald Charles Jettie, DC

  • Chiropractor
  • Farmington Hills, MI
  • NPI 1275632218
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1285947093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30405 W 12 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343805",
            "telephone_number": "248-477-5255",
            "fax_number": "248-474-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30405 W 12 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343805",
            "telephone_number": "248-477-5255",
            "fax_number": "248-474-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JETTIE CHIROPRACTIC CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "JETTIE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "248-477-5255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "RJ004377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Jeter
• Taberta Jeter
• Billy Jetland
• Katrina Jett
• Stephanie Suzanne Jett
• Christopher Charles Jettie
• Ronald Charles Jettie, DC
• Scott Ronald Jettie, D.C.
• Jewell Dental of Rose Vision
• Anne-Marie Jewell

• Chiropractor in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.