Organization Active NPI

Lolita Chandler

  • General Practice Physician
  • Detroit, MI
National Provider Identifier
1295074433
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on May 2, 2014

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801080545 MI
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.