Organization Active NPI

Corrine L. Adler ,D.O., P.C

  • Primary Care Clinic/Center
  • Dearborn Heights, MI
National Provider Identifier
1306069497
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
CA009890 Issued in MI
Legal business name
CORRINE L. ADLER ,D.O., P.C
Practice address
2014 Beech Daly Rd.
Dearborn Heights, MI 48146
Phone
(313) 730-1634
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Corrine Lynn Adler, D.ONPI 1780634485
Title
Owner
Phone
(313) 730-1591

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
Primary Care Clinic/Center 261QP2300X CA009890 MI Primary

Addresses

Primary practice location

2014 Beech Daly Rd.
Dearborn Heights, MI 48146

Mailing address

2014 Beech Daly Rd.
Dearborn Heights, MI 48146
Phone (313) 730-1634

Other identifiers 1

IdentifierTypeStateIssuer
3524148 TYPE 11MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306069497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 BEECH DALY RD.",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48146",
            "telephone_number": "313-730-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 BEECH DALY RD.",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48146",
            "telephone_number": "313-730-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRINE L. ADLER ,D.O., P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "CORRINE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-730-1591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "CA009890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3524148 TYPE 11",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.