NPIMap

Organization Active NPI

Spinal Care Specialist PLLC

  • Chiropractor
  • Southfield, MI
National Provider Identifier
1417432824
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPINAL CARE SPECIALIST PLLC
Practice address
24901 Northwestern Hwy Ste 113
Southfield, MI 48075-2200
Phone
(989) 288-0800
Fax
(989) 288-0882
NPI assigned
Oct 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Authorized official

Name
Lawrence Anthony GralewskiNPI 1790702470
Title
Owner
Phone
(989) 288-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

24901 Northwestern Hwy Ste 113
Southfield, MI 48075-2200

Mailing address

118 N Saginaw St
Durand, MI 48429-1164
Phone (989) 288-0800

National Provider Directory

National Provider Directory

Locations

118 N Saginaw St
Durand, MI 48429
Phone (989) 288-0800

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1417432824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N SAGINAW ST",
            "city": "DURAND",
            "state": "MI",
            "postal_code": "484291164",
            "telephone_number": "989-288-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24901 NORTHWESTERN HWY STE 113",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752200",
            "telephone_number": "989-288-0800",
            "fax_number": "989-288-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL CARE SPECIALIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "GRALEWSKI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-288-0800"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.