Individual provider Active NPI

David D Budaj, D.C.

  • Rehabilitation Chiropractor
  • West Bloomfield, MI
National Provider Identifier
1467517268
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
2301007674 Issued in MI
Practice address
4923 Hardwoods Drive
West Bloomfield, MI 48323
Phone
(248) 706-1245
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 2301007674 MI Primary

Addresses

Primary practice location

4923 Hardwoods Drive
West Bloomfield, MI 48323

Mailing address

4923 Hardwoods Dr
West Bloomfield, MI 48323-2644
Phone (248) 706-1245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512001160 MI Practitioner - Chiropractic 4880684901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5799 W Maple Rd
Suite 159 Bloomfield Wellness Clinic
West Bloomfield, MI 48322-4458
Phone (248) 626-0001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David D Budaj PC Rehabilitation CurrentSince Jul 1, 2003 Accepting new patients

Locations

30827 Hoover Rd
Warren, MI 48093
Phone (586) 751-0088

5799 W Maple Rd
Ste 159
West Bloomfield, MI 48322
Phone (248) 626-0001

Interoperability endpoints

  • Direct secure messaging: trbudaj@dddb0001.direct.chirotouch.md
  • Direct secure messaging: ddbudaj@dddb0001.direct.chirotouch.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467517268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4923 HARDWOODS DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232644",
            "telephone_number": "248-706-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4923 HARDWOODS DRIVE",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48323",
            "telephone_number": "248-706-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDAJ",
        "first_name": "DAVID",
        "middle_name": "D",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MI",
            "license": "2301007674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.