Organization Active NPI

New Leaf Chiropractic, LLC

  • Chiropractor
  • Sterling Heights, MI
National Provider Identifier
1306571658
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NEW LEAF CHIROPRACTIC, LLC
Practice address
4105 Metro Pkwy Ste 101
Sterling Heights, MI 48310-7503
Phone
(586) 939-1003
Fax
(586) 939-3862
NPI assigned
Jul 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Dr. Joseph Galutan Estrada, DCNPI 1144747130
Title
Owner
Phone
(586) 306-5526

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 Primary

Addresses

Primary practice location

4105 Metro Pkwy Ste 101
Sterling Heights, MI 48310-7503

Mailing address

4846 Marlow Dr
Warren, MI 48092-4606
Phone (586) 306-5526

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221004002672 MI Part B Supplier - Clinic/Group Practice 3072999705 Receives reassigned benefits from 1 practitioner
Practice locations: Sterling Heights, MI

National Provider Directory

National Provider Directory

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": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1306571658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4846 MARLOW DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924606",
            "telephone_number": "586-306-5526",
            "fax_number": "586-939-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 METRO PKWY STE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483107503",
            "telephone_number": "586-939-1003",
            "fax_number": "586-939-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "GALUTAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-306-5526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.