Active NPI
Flores Chiropractic Clinic
- Chiropractor
- Wyandotte, MI
National Provider Identifier
1497019343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 230005096
- Legal business name
- FLORES CHIROPRACTIC CLINIC
- Practice address
- 1642 Eureka Rd
Wyandotte, MI 48192-6104 - Phone
- (734) 246-5488
- Fax
- (734) 246-5490
- NPI assigned
- Jun 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Luis R Flores Jr., D.C.
- Title
- Chiropractor/Owner
- Phone
- (734) 246-5488
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 230005096 | MI | Primary |
Addresses
Primary practice location
1642 Eureka Rd
Wyandotte, MI 48192-6104
Mailing address
1642 Eureka Rd
Wyandotte, MI 48192-6104
Phone (734) 246-5488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3028168 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1642 Eureka Rd
Wyandotte, MI 48192
Phone (734) 246-5480
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Wyandotte, MI
- NPI 1588763627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340668800000",
"number": "1497019343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1642 EUREKA RD",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481926104",
"telephone_number": "734-246-5488",
"fax_number": "734-246-5490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1642 EUREKA RD",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481926104",
"telephone_number": "734-246-5488",
"fax_number": "734-246-5490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORES CHIROPRACTIC CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-26",
"last_updated": "2012-06-26",
"status": "A",
"authorized_official_last_name": "FLORES",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
"authorized_official_telephone_number": "734-246-5488",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "230005096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3028168",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wyandotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.