Organization Active NPI

Joseph M Lograsso DC PC

  • Chiropractor
  • Saint Clair Shores, MI
National Provider Identifier
1386869121
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
JL002224 Issued in MI
Legal business name
JOSEPH M LOGRASSO DC PC
Practice address
22701 Greater Mack Ave
Saint Clair Shores, MI 48080-2007
Phone
(586) 777-6056
Fax
(586) 775-7246
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Joseph M Lograsso, DC
Title
Doctor
Phone
(586) 777-6056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X JL002224 MI Primary

Addresses

Primary practice location

22701 Greater Mack Ave
Saint Clair Shores, MI 48080-2007

Mailing address

22701 Greater Mack Ave
Saint Clair Shores, MI 48080-2007
Phone (586) 777-6056

Other identifiers 1

IdentifierTypeStateIssuer
1064890MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1386869121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22701 GREATER MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802007",
            "telephone_number": "586-777-6056",
            "fax_number": "586-775-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22701 GREATER MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802007",
            "telephone_number": "586-777-6056",
            "fax_number": "586-775-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH M LOGRASSO DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "LOGRASSO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "586-777-6056",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "JL002224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1064890",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.