Individual provider Active NPI

Robert Warren Levine, D.C.

  • Chiropractor
  • Farmington Hills, MI
National Provider Identifier
1366590036
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
RL005201 Issued in MI
Practice address
31390 Northwestern Hwy
Suite C.
Farmington Hills, MI 48334-2561
Phone
(248) 855-2666
Fax
(248) 855-6460
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X RL005201 MI Primary

Addresses

Primary practice location

31390 Northwestern Hwy
Suite C.
Farmington Hills, MI 48334-2561

Mailing address

31390 Northwestern Hwy
Suite C.
Farmington Hills, MI 48334-2561
Phone (248) 855-2666

Other identifiers 1

IdentifierTypeStateIssuer
950F352350OtherMIBLUE CROSS PROVIDER PIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050804000067 MI Practitioner - Chiropractic 2365470978 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RL005201MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Levine Chiropractic of Farmington Hills P.C. Chiropractor CurrentSince Jan 1, 2005 Accepting new patients

Locations

31390 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 855-2666

31390 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 855-6888

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1366590036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31390 NORTHWESTERN HWY",
            "address_2": "SUITE C.",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342561",
            "telephone_number": "248-855-2666",
            "fax_number": "248-855-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31390 NORTHWESTERN HWY",
            "address_2": "SUITE C.",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342561",
            "telephone_number": "248-855-2666",
            "fax_number": "248-855-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "ROBERT",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "RL005201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER PIN",
            "identifier": "950F352350",
            "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 May 14, 2008; 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.