Fireberg Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007496 Issued in MI

Legal business name

FIREBERG CHIROPRACTIC CENTER

Practice address

23507 John R Rd
Hazel Park, MI 48030-1408

Phone

(248) 543-9380

Fax

(248) 543-9381

NPI assigned

Feb 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Edward Fireberg, D.C.NPI 1255473377

Title

Owner

Phone

(248) 543-9380

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Edward Fireberg, D.C.

  • Chiropractor
  • Hazel Park, MI
  • NPI 1255473377
  NPD (past) Authorized official
• Gary L Grossman, D.C.

  • Chiropractor
  • Southfield, MI
  • NPI 1144393307
  NPD (past)

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1639347602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23507 JOHN R RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301408",
            "telephone_number": "248-543-9380",
            "fax_number": "248-543-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23507 JOHN R RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301408",
            "telephone_number": "248-543-9380",
            "fax_number": "248-543-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIREBERG CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "FIREBERG",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-543-9380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Hazel Park, MI
• Providers in Hazel Park, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.