Jeffrey Edward Fantich, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301006930 Issued in MI

Practice address

5829 W Maple Rd
Suite 123
West Bloomfield, MI 48322-2294

Phone

(248) 737-8066

Fax

(248) 737-9093

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jfantich305805@direct.hfhs.org

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.

• Chiropractic & Integrative Health Specialists, P.L.L.C.

  • Chiropractor
  • West Bloomfield, MI
  • NPI 1427398221
  Medicare reassignment NPD Authorized official
• Dr. James Herman, P.L.L.C

  • Orthopedic Chiropractor
  • Bloomfield Township, MI
  • NPI 1275860009
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• William Beaumont Hospital

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1386784692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5829 W MAPLE RD",
            "address_2": "SUITE 123",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222294",
            "telephone_number": "248-737-8066",
            "fax_number": "248-737-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5829 W MAPLE RD",
            "address_2": "SUITE 123",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222294",
            "telephone_number": "248-737-8066",
            "fax_number": "248-737-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANTICH",
        "first_name": "JEFFREY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "461982008",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PIN",
            "identifier": "0F35177",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Obiageli Christiana Ezeanya, FNP
• Anne Fahey, SLP
• Lori Faitel
• Susan Faitler, LMSW
• Family Dentistry of West Bloomfield
• Madison Fantin, DDS
• Areeba Farhan
• Jake Farida, D.D.S.
• Sandy Farida
• Theodore Paul Faris, MA, LPC

• Chiropractor in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.