NPIMap

Organization Active NPI

Frederick M. Vogel, DC PC

  • Chiropractor
  • Eastpointe, MI
National Provider Identifier
1477675205
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FREDERICK M. VOGEL, DC PC
Practice address
15300 E 10 Mile Rd
Eastpointe, MI 48021-1012
Phone
(586) 774-1550
Fax
(586) 774-9583
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Frederick Michael Vogel, DC
Title
Director
Phone
(586) 774-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X MI Primary

Addresses

Primary practice location

15300 E 10 Mile Rd
Eastpointe, MI 48021-1012

Mailing address

15300 E 10 Mile Rd
Eastpointe, MI 48021-1012
Phone (586) 774-1550

Other identifiers 1

IdentifierTypeStateIssuer
1071750MedicaidMI

Other names 1

  • East Detroit Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

15300 E 10 Mile Rd
Eastpointe, MI 48021
Phone (586) 774-1550

Practitioners & affiliated clinicians

Practitioners 8

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477675205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 E 10 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211012",
            "telephone_number": "586-774-1550",
            "fax_number": "586-774-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 E 10 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211012",
            "telephone_number": "586-774-1550",
            "fax_number": "586-774-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK M. VOGEL, DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VOGEL",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "586-774-1550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1071750",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Detroit Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.