Active NPI
Pehur Chiropractic Center, PLLC
- Chiropractor
- Shelby TWP, MI
National Provider Identifier
1396136529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301010162
- Legal business name
- PEHUR CHIROPRACTIC CENTER, PLLC
- Practice address
- 52775 Hayes Rd
Shelby TWP, MI 48315-2522 - Phone
- (586) 808-5691
- NPI assigned
- Feb 10, 2015
- 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
- Dr. Derek Pehur, D.C.
- Title
- Owner/Director
- Phone
- (586) 808-5691
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301010162 | MI | Primary |
Addresses
Primary practice location
52775 Hayes Rd
Shelby TWP, MI 48315-2522
Mailing address
52775 Hayes Rd
Shelby TWP, MI 48315-2522
National Provider Directory
National Provider DirectoryLocations
52775 Hayes Rd
Shelby Township, MI 48315
Phone (586) 566-5005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423526400000",
"number": "1396136529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52775 HAYES RD",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483152522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52775 HAYES RD",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483152522",
"telephone_number": "586-808-5691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEHUR CHIROPRACTIC CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-10",
"last_updated": "2015-02-10",
"status": "A",
"authorized_official_last_name": "PEHUR",
"authorized_official_first_name": "DEREK",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "586-808-5691",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "2301010162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.