Active NPI
Joseph M Lograsso DC PC
- Chiropractor
- Saint Clair Shores, MI
National Provider Identifier
1386869121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- JL002224
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1064890 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI 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.