Organization Active NPI

David D Budaj PC

  • Rehabilitation Chiropractor
  • West Bloomfield, MI
National Provider Identifier
1467653840
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
2301007674 Issued in MI
Legal business name
DAVID D BUDAJ PC
Practice address
5793 West Maple Rd
Suite 147
West Bloomfield, MI 48322
Phone
(248) 626-0001
Fax
(248) 626-0008
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Dusan Budaj, D.C.NPI 1467517268
Title
President
Phone
(248) 626-0001

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
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 2301007674 MI Primary

Addresses

Primary practice location

5793 West Maple Rd
Suite 147
West Bloomfield, MI 48322

Mailing address

5793 West Maple Rd
Suite 147
West Bloomfield, MI 48322
Phone (248) 626-0001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040512001088 MI Part B Supplier - Clinic/Group Practice 4385634401 Receives reassigned benefits from 2 practitioners
Practice locations: West Bloomfield, MI

National Provider Directory

National Provider Directory

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467653840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5793 WEST MAPLE RD",
            "address_2": "SUITE 147",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-626-0001",
            "fax_number": "248-626-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5793 WEST MAPLE RD",
            "address_2": "SUITE 147",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-626-0001",
            "fax_number": "248-626-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID D BUDAJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUDAJ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-626-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY 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 Aug 22, 2020; 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.