Organization Active NPI

Abbott Family Chiropractic Center PLLC

  • Chiropractor
  • Northville, MI
National Provider Identifier
1326260696
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008633 Issued in MI
Legal business name
ABBOTT FAMILY CHIROPRACTIC CENTER PLLC
Practice address
150 Mary Alexander Court
Northville, MI 48167-1628
Phone
(248) 449-2802
Fax
(248) 449-2796
NPI assigned
May 3, 2007
Last updated
Oct 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Dr. William James Abbott, D.C.NPI 1215094420
Title
Chiropractor
Phone
(248) 449-2802

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 2301008633 MI Primary

Addresses

Primary practice location

150 Mary Alexander Court
Northville, MI 48167-1628

Mailing address

150 Mary Alexander Court
Northville, MI 48167-1628
Phone (248) 449-2802

Other identifiers 2

IdentifierTypeStateIssuer
7582717OtherMIAETNA PIN
950H223790OtherMIBCBSM PIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101014001255 MI Part B Supplier - Clinic/Group Practice 5991998502 Receives reassigned benefits from 1 practitioner
Practice locations: Northville, MI

National Provider Directory

National Provider Directory

Locations

133 W Main St
Ste 110
Northville, MI 48167
Phone (248) 449-2802

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1326260696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MARY ALEXANDER COURT",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671628",
            "telephone_number": "248-449-2802",
            "fax_number": "248-449-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MARY ALEXANDER COURT",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671628",
            "telephone_number": "248-449-2802",
            "fax_number": "248-449-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBOTT FAMILY CHIROPRACTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "248-449-2802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "7582717",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN",
            "identifier": "950H223790",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.