Organization Active NPI

Aaa Wellness Center, LLC

  • Chiropractor
  • Garden City, MI
National Provider Identifier
1457618696
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004989 Issued in MI
Legal business name
AAA WELLNESS CENTER, LLC
Practice address
27553 W. Warren
Garden City, MI 48135-2235
Phone
(734) 956-6285
Fax
(734) 956-6287
NPI assigned
Apr 12, 2012
Last updated
Apr 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Dr. Geoffrey Kemoli Sagala, D.C
Title
Director
Phone
(734) 956-6285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301004989 MI Primary

Addresses

Primary practice location

27553 W. Warren
Garden City, MI 48135-2235

Mailing address

27553 W. Warren Rd
Garden City, MI 48135-2235
Phone (734) 956-6285

National Provider Directory

National Provider Directory

Locations

27553 Warren Rd
Garden City, MI 48135
Phone (734) 956-6285

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1457618696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27553 W. WARREN RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352235",
            "telephone_number": "734-956-6285",
            "fax_number": "734-956-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27553 W. WARREN",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352235",
            "telephone_number": "734-956-6285",
            "fax_number": "734-956-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "SAGALA",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "KEMOLI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "734-956-6285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.