Organization Active NPI

Pehur Chiropractic Center, PLLC

  • Chiropractor
  • Shelby TWP, MI
National Provider Identifier
1396136529
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010162 Issued in MI
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

Updated by the provider on Feb 10, 2015

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.