Organization Active NPI

Clugston Chiropractic Center, P.C.

  • Chiropractor
  • Livonia, MI
National Provider Identifier
1306217377
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009925 Issued in MI
Legal business name
CLUGSTON CHIROPRACTIC CENTER, P.C.
Practice address
33779 5 Mile Rd
Livonia, MI 48154-2850
Phone
(734) 261-7590
NPI assigned
Oct 15, 2015
Last updated
Oct 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Authorized official

Name
William ClugstonNPI 1295081016
Title
Owner/Doctor of Chiropractic
Phone
(734) 261-7590

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
Chiropractor 111N00000X 2301009925 MI Primary

Addresses

Primary practice location

33779 5 Mile Rd
Livonia, MI 48154-2850

Mailing address

33779 5 Mile Rd
Livonia, MI 48154-2850

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151202000340 MI Part B Supplier - Clinic/Group Practice 0244530905 Receives reassigned benefits from 1 practitioner
Practice locations: Livonia, MI

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, 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": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1306217377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33779 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33779 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542850",
            "telephone_number": "734-261-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLUGSTON CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "CLUGSTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "734-261-7590"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.