Alternative Healing Chiropractic Center, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010239 Issued in MI

Legal business name

ALTERNATIVE HEALING CHIROPRACTIC CENTER, PLLC

Practice address

49100 Pontiac TRL
Wixom, MI 48393-2569

Phone

(248) 669-1109

Fax

(248) 669-2552

NPI assigned

Nov 10, 2014

Organization subpart

No

Name

Dr. David Philip Gavron, D.C.NPI 1083021208

Title

Sole Member

Phone

(248) 669-1109

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Philip Gavron

  • Chiropractor
  • West Bloomfield, MI
  • NPI 1083021208
  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 10, 2016.

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1396141982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49100 PONTIAC TRL",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483932569",
            "telephone_number": "248-669-1109",
            "fax_number": "248-669-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49100 PONTIAC TRL",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483932569",
            "telephone_number": "248-669-1109",
            "fax_number": "248-669-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE HEALING CHIROPRACTIC CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "GAVRON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "248-669-1109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Wixom, MI
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.