Eastside Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EASTSIDE CHIROPRACTIC PLLC

Practice address

19959 Vernier Rd
Harper Woods, MI 48225-1471

Phone

(313) 635-1585

Fax

(313) 635-1595

NPI assigned

Jul 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Hage, DCNPI 1649773169

Title

Owner

Phone

(313) 635-1585

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Hage, DC

  • Chiropractor
  • Dearborn, MI
  • NPI 1649773169
  Medicare reassignment Authorized official
• Stephanie Lynn Taylor, DC, BS

  • Chiropractor
  • Harper Woods, MI
  • NPI 1639808132
  NPD (past)

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1598383390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19959 VERNIER RD",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251471",
            "telephone_number": "313-635-1585",
            "fax_number": "313-635-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19959 VERNIER RD",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251471",
            "telephone_number": "313-635-1585",
            "fax_number": "313-635-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "HAGE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-635-1585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Dorris, MA, LPC, CAADC
• Nicole Dougherty
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• Julia Lynn Earl
• Eastland Dental Center
• Brian Ellis
• Encouraging Motivating & Empowering, LC
• Essential Primary & Wellness Clinic PLLC
• Essential Spine Interventions PLLC (Enhance Center for Interventional Spine & Sports)
• Gourilavanya Eswara

• Chiropractor in Harper Woods, MI
• Providers in Harper Woods, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.