Jack Failla D.C.P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301001958 Issued in MI

Legal business name

JACK FAILLA D.C.P.C.

Practice address

30045 Harper Ave
Saint Clair Shores, MI 48082-1649

Phone

(586) 772-8560

NPI assigned

Nov 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jack Failla, D.C, P.C.

Title

President

Phone

(586) 772-8560

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1346577582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30045 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480821649",
            "telephone_number": "586-772-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30045 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480821649",
            "telephone_number": "586-772-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK FAILLA D.C.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "FAILLA",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-772-8560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C, P.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301001958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID NUMBER",
            "identifier": "OEO5139",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen P Isopi, PA-C
• Raafat Issa, M.D
• Elizabeth Iwankovitsch
• Chandrika Iyer, MD
• Denise M Jabbour, DO
• Jackie Placidi MSW, LMSW
• N'Gozi Sahrel Jackson
• Nija Jackson, RBT
• Tracee Louise Jackson, LPC
• David Jacobs

• Chiropractor in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.