Organization Active NPI

Dimitriou Chiropractic Center LLC

  • Chiropractor
  • Farmington Hills, MI
National Provider Identifier
1346407764
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005655 Issued in MI
Legal business name
DIMITRIOU CHIROPRACTIC CENTER LLC
Practice address
38431 Grand River Ave
Farmington Hills, MI 48335-1517
Phone
(248) 471-7188
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Authorized official

Name
Dr. John Dimitriou, D.C.
Title
Owner
Phone
(248) 471-7188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301005655 MI Primary

Addresses

Primary practice location

38431 Grand River Ave
Farmington Hills, MI 48335-1517

Mailing address

38431 Grand River Ave
Farmington Hills, MI 48335-1517
Phone (248) 471-7188

Other identifiers 1

IdentifierTypeStateIssuer
4544397MedicaidMI

National Provider Directory

National Provider Directory

Locations

38431 Grand River Ave
Farmington Hills, MI 48335
Phone (248) 471-7188

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1346407764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38431 GRAND RIVER AVE",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483351517",
            "telephone_number": "248-471-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38431 GRAND RIVER AVE",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483351517",
            "telephone_number": "248-471-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMITRIOU CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "DIMITRIOU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-471-7188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4544397",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.