Diverse Health Services PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301004443 Issued in MI

Legal business name

DIVERSE HEALTH SERVICES PLLC

Practice address

39595 W 10 Mile Rd
Suite 112
Novi, MI 48375-2948

Phone

(248) 477-0380

Fax

(248) 477-8320

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Randall Tent, DONPI 1205999364

Title

Member

Phone

(248) 477-0380

Specialties & licenses 1

Addresses

Other names 1

• Diversified Health Services Former legal business name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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

• Randall Tent, DO

  • Chiropractor
  • Novi, MI
  • NPI 1205999364
  Medicare reassignment Care Compare group NPD Authorized official
• Craig Allan Gill, B.S., D.C.

  • Chiropractor
  • Westland, MI
  • NPI 1609826197
  Medicare reassignment Care Compare group NPD
• Jeffrey Senechal, DC

  • Chiropractor
  • Novi, MI
  • NPI 1376787655
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316000391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39595 W 10 MILE RD",
            "address_2": "SUITE 112",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752948",
            "telephone_number": "248-477-0380",
            "fax_number": "248-477-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39595 W 10 MILE RD",
            "address_2": "SUITE 112",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752948",
            "telephone_number": "248-477-0380",
            "fax_number": "248-477-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TENT",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-477-0380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversified Health Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Samer George Dirani, DDS
• Michelle Dirette, RN, CBIS
• Sandra Colleen Disanto, C.N.P.
• Sydney Diss
• Jennifer Dissmore
• Arlas L Dixon
• Deron Sylvester Dixon
• Micah Dixon
• Nikita Lanise Dixon
• Taatiana Dixon

• Chiropractor in Novi, MI
• Providers in Novi, MI by specialty
• Chiropractor in Michigan

• 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.
• 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.