Individual provider Active NPI

Ali Issam El-Habhab, D.C.

  • Chiropractor
  • Royal Oak, MI
National Provider Identifier
1619623998
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301011137 Issued in MI
Practice address
4305 W 13 Mile Rd
Royal Oak, MI 48073-6504
Phone
(313) 768-5385
NPI assigned
Feb 25, 2022
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301011137 MI Primary

Addresses

Primary practice location

4305 W 13 Mile Rd
Royal Oak, MI 48073-6504

Mailing address

4828 Allen Rd
Allen Park, MI 48101-2914
Phone (313) 768-5385

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address downriverspinemc@hotmail.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250225000735 MI Practitioner - Chiropractic 3779003405 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301011137MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
MVMT GC P.L.L.C Chiropractor CurrentSince Jun 3, 2025 Accepting new patients
M & a Wellness PLLC Chiropractor CurrentSince Mar 16, 2023 Accepting new patients
Downriver Spine Management Clinic PLLC Chiropractor PastSince Mar 14, 2024 Accepting new patients

Locations

28050 Ford Rd
Ste Ab
Garden City, MI 48135
Phone (313) 768-5385

4305 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 951-8927

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1619623998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012914",
            "telephone_number": "313-768-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736504",
            "telephone_number": "313-768-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-HABHAB",
        "first_name": "ALI",
        "middle_name": "ISSAM",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-25",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301011137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "downriverspinemc@hotmail.com",
            "affiliation": "N",
            "address_1": "4828 Allen Rd",
            "city": "Allen Park",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481012914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.