Organization Active NPI

Advanced Health Chiropractic, PLLC

  • Chiropractor
  • Troy, MI
National Provider Identifier
1295832087
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
JB008436 Issued in MI
Legal business name
ADVANCED HEALTH CHIROPRACTIC, PLLC
Practice address
6585 Rochester Rd
Suite 107
Troy, MI 48085-1363
Phone
(248) 813-0500
Fax
(248) 879-8055
NPI assigned
Sep 20, 2006
Last updated
Dec 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Dr. Lisa Bell, D.CNPI 1114991478
Title
Owner
Phone
(248) 813-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X JB008436 MI Primary

Addresses

Primary practice location

6585 Rochester Rd
Suite 107
Troy, MI 48085-1363

Mailing address

6585 Rochester Rd
Suite 107
Troy, MI 48085-1363
Phone (248) 813-0500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050801000085 MI Part B Supplier - Clinic/Group Practice 5698703635 Receives reassigned benefits from 2 practitioners
Practice locations: Troy, MI

National Provider Directory

National Provider Directory

Locations

6585 Rochester Rd
Ste 107
Troy, MI 48085
Phone (248) 813-0500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1295832087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6585 ROCHESTER RD",
            "address_2": "SUITE 107",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851363",
            "telephone_number": "248-813-0500",
            "fax_number": "248-879-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6585 ROCHESTER RD",
            "address_2": "SUITE 107",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851363",
            "telephone_number": "248-813-0500",
            "fax_number": "248-879-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-813-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "JB008436",
            "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 Dec 22, 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.