Active NPI
Lolita Chandler
- General Practice Physician
- Detroit, MI
National Provider Identifier
1295074433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- LOLITA CHANDLER
- Practice address
- 19953 Conant St
Detroit, MI 48234-1334 - Phone
- (248) 291-5801
- NPI assigned
- Feb 7, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lolita Chandler
- Title
- Owner
- Phone
- (313) 368-0005
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801080545 | MI | |
| General Practice Physician | 208D00000X | Primary | ||
| Physical Therapist | 225100000X | 5501004655 | MI |
Addresses
Primary practice location
19953 Conant St
Detroit, MI 48234-1334
Mailing address
19953 Conant
Detroit, MI 48237-2535
Phone (313) 740-2672
Other names 1
- quality care center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398988800000",
"number": "1295074433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19953 CONANT",
"city": "DETROIT",
"state": "MI",
"postal_code": "482372535",
"telephone_number": "313-740-2672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19953 CONANT ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482341334",
"telephone_number": "248-291-5801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOLITA CHANDLER",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-07",
"last_updated": "2014-05-02",
"status": "A",
"authorized_official_last_name": "CHANDLER",
"authorized_official_first_name": "LOLITA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-368-0005",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801080545",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501004655",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "quality care center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.