NPIMap

Organization Active NPI

Innerlink Chiropractic

  • Preferred Provider Organization
  • Wixom, MI
National Provider Identifier
1659325009
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
2301008931 Issued in MI
Legal business name
INNERLINK CHIROPRACTIC
Practice address
28345 Beck Rd
Suite 412
Wixom, MI 48393-4733
Phone
(248) 349-0300
Fax
(248) 349-0307
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Authorized official

Name
Dr. Chris Niedzinski, D.C.
Title
Doctor of Chiropractic
Phone
(248) 349-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 2301008931 MI Primary

Addresses

Primary practice location

28345 Beck Rd
Suite 412
Wixom, MI 48393-4733

Mailing address

28345 Beck Rd
Suite 412
Wixom, MI 48393-4733
Phone (248) 349-0300

Other identifiers 1

IdentifierTypeStateIssuer
950F328180OtherMIBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1659325009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28345 BECK RD",
            "address_2": "SUITE 412",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483934733",
            "telephone_number": "248-349-0300",
            "fax_number": "248-349-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28345 BECK RD",
            "address_2": "SUITE 412",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483934733",
            "telephone_number": "248-349-0300",
            "fax_number": "248-349-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERLINK CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "NIEDZINSKI",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "248-349-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MI",
            "license": "2301008931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950F328180",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wixom, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.