Organization Active NPI

Henry Ford West Bloomfield Hospital

Doing business as Henry Ford West Bloomfield-Chiropractic

  • Chiropractor
  • West Bloomfield, MI
National Provider Identifier
1578849329
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HENRY FORD WEST BLOOMFIELD HOSPITAL
Doing business as
Henry Ford West Bloomfield-Chiropractic
Practice address
6777 W. Maple
West Bloomfield, MI 48322-3013
Phone
(248) 661-4100
Fax
(248) 325-3830
NPI assigned
Oct 25, 2011
Last updated
Sep 4, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
HENRY FORD WEST BLOOMFIELD HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Mr. Joseph E Schmitt III
Title
Sr. Vice President
Phone
(313) 874-4920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

6777 W. Maple
West Bloomfield, MI 48322-3013

Mailing address

6777 W. Maple Road
West Bloomfield, MI 48322-3013
Phone (248) 661-4100

Other names 1

  • Henry Ford West Bloomfield-Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090403000176 MI Part B Supplier - Clinic/Group Practice 2264589449 Receives reassigned benefits from 161 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Bloomfield, MI

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Henry Ford Medical Center Lakeside

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1578849329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6777 W. MAPLE ROAD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223013",
            "telephone_number": "248-661-4100",
            "fax_number": "248-325-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 W. MAPLE",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223013",
            "telephone_number": "248-661-4100",
            "fax_number": "248-325-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD WEST BLOOMFIELD HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENRY FORD WEST BLOOMFIELD HOSPITAL",
        "enumeration_date": "2011-10-25",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "SCHMITT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "313-874-4920",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford West Bloomfield-Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 4, 2014; 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.