Individual provider Active NPI

William Russell Clugston, DC

  • Chiropractor
  • Garden City, MI
National Provider Identifier
1295081016
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009925 Issued in MI
Practice address
1647 Inkster Rd
Garden City, MI 48135-3086
Phone
(734) 525-8422
Fax
(734) 525-5421
NPI assigned
Jul 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009925 MI Primary

Addresses

Primary practice location

1647 Inkster Rd
Garden City, MI 48135-3086

Mailing address

1647 Inkster Rd
Garden City, MI 48135-3086
Phone (734) 525-8422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121002000267 MI Practitioner - Chiropractic 6507015807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

33779 5 Mile Rd
Livonia, MI 48154-2850
Phone (734) 261-7590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009925MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Clugston Chiropractic Center, P.C. Chiropractor CurrentSince Oct 25, 2015 Accepting new patients
Gregg Chiropractic Life Center P.C. Chiropractor Current Accepting new patients

Locations

33779 5 Mile Rd
Livonia, MI 48154
Phone (734) 261-7400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1295081016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481353086",
            "telephone_number": "734-525-8422",
            "fax_number": "734-525-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481353086",
            "telephone_number": "734-525-8422",
            "fax_number": "734-525-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUGSTON",
        "first_name": "WILLIAM",
        "middle_name": "RUSSELL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.