Organization Active NPI

Atlas Orthopedics

  • Durable Medical Equipment & Medical Supplies
  • Bloomfield Hills, MI
National Provider Identifier
1386033058
Registry record updated Jan 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5101013938 Issued in MI
Legal business name
ATLAS ORTHOPEDICS
Practice address
4488 Charing Cross Rd
Bloomfield Hills, MI 48304-3110
Phone
(586) 242-5832
NPI assigned
Jan 17, 2015
Last updated
Jan 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2015

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

Authorized official

Name
Dr. Jeffrey John Carroll, D.O.
Title
President
Phone
(586) 242-5832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5101013938 MI Primary

Addresses

Primary practice location

4488 Charing Cross Rd
Bloomfield Hills, MI 48304-3110

Mailing address

4488 Charing Cross Rd
Bloomfield Hills, MI 48304-3110
Phone (586) 242-5832

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1421452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421452800000",
    "number": "1386033058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4488 CHARING CROSS RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043110",
            "telephone_number": "586-242-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4488 CHARING CROSS RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043110",
            "telephone_number": "586-242-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-17",
        "last_updated": "2015-01-17",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-242-5832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5101013938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2015; 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.