Organization Active NPI

Dubbs Chiropractic Office PLLC

  • Chiropractor
  • Mount Clemens, MI
National Provider Identifier
1457056194
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DUBBS CHIROPRACTIC OFFICE PLLC
Practice address
122 New St
Mount Clemens, MI 48043-5623
Phone
(586) 468-5381
NPI assigned
Apr 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Dr. Carol E Khaznehkatbi, DCNPI 1982602967
Title
Ower
Phone
(865) 850-2198

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

122 New St
Mount Clemens, MI 48043-5623

Mailing address

122 New St
Mount Clemens, MI 48043-5623
Phone (586) 468-5381

Other identifiers 2

IdentifierTypeStateIssuer
0E01639OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN
1982602967OtherNPI

Other names 1

  • Dubbs Chiropractic Office Other name

National Provider Directory

National Provider Directory

Locations

122 New St
Mount Clemens, MI 48043
Phone (586) 468-5381

Practitioners & affiliated clinicians

Practitioners 1

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": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1457056194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 NEW ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435623",
            "telephone_number": "586-468-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 NEW ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435623",
            "telephone_number": "586-468-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBBS CHIROPRACTIC OFFICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "KHAZNEHKATBI",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "865-850-2198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "0E01639",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1982602967",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dubbs Chiropractic Office",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Clemens, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.