Chiropractic & Integrative Health Specialists, P.L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301006930 Issued in MI

Legal business name

CHIROPRACTIC & INTEGRATIVE HEALTH SPECIALISTS, P.L.L.C.

Practice address

5829 W Maple Rd
Suite 123
West Bloomfield, MI 48322-2294

Phone

(248) 737-8066

NPI assigned

Feb 15, 2013

Last updated

Feb 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Edward Fantich, D.C.NPI 1386784692

Title

Owner

Phone

(248) 737-8066

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Edward Fantich, D.C.

  • Chiropractor
  • West Bloomfield, MI
  • NPI 1386784692
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1427398221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5829 W MAPLE RD",
            "address_2": "SUITE 123",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222294",
            "telephone_number": "248-737-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5829 W MAPLE RD",
            "address_2": "SUITE 123",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222294",
            "telephone_number": "248-737-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC & INTEGRATIVE HEALTH SPECIALISTS, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "FANTICH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-737-8066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.