Active NPI
Chiropractic Management Solutions, Inc
- Chiropractor
- Southgate, MI
National Provider Identifier
1528512944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 23010058
- Legal business name
- CHIROPRACTIC MANAGEMENT SOLUTIONS, INC
- Practice address
- 14701 Northline Rd
Southgate, MI 48195-2407 - Phone
- (734) 771-3219
- NPI assigned
- Aug 15, 2016
- 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. Bryan Donald Beller, DC
- Title
- Owner/Provider
- Phone
- (734) 225-1505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 23010058 | MI | Primary |
Addresses
Primary practice location
14701 Northline Rd
Southgate, MI 48195-2407
Mailing address
14701 Northline Rd
Southgate, MI 48195-2407
Phone (734) 225-1505
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143151958 | Medicaid | MI | |
| 1528512944 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
14701 Northline Rd
Southgate, MI 48195
Phone (734) 225-1505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616630400000",
"number": "1528512944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14701 NORTHLINE RD",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952407",
"telephone_number": "734-225-1505",
"fax_number": "734-225-1504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14701 NORTHLINE RD",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952407",
"telephone_number": "734-771-3219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTIC MANAGEMENT SOLUTIONS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-15",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A",
"authorized_official_last_name": "BELLER",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "DONALD",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "734-225-1505",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "23010058",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143151958",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528512944",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southgate, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.