O'Dell Family Chiropractic Center PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301006957 Issued in MI

Legal business name

O'DELL FAMILY CHIROPRACTIC CENTER PLLC

Practice address

28245 Southfield Rd
Lathrup Village, MI 48076-2863

Phone

(248) 552-1110

Fax

(248) 552-0771

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kevin J. O'Dell, DCNPI 1700952678

Title

Owner

Phone

(248) 552-1110

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 3

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

• Kevin James O'Dell, D.C.

  • Chiropractor
  • Lathrup Village, MI
  • NPI 1700952678
  Medicare reassignment NPD Authorized official
• Heather L Schueler, D.C.

  • Chiropractor
  • Lathrup Village, MI
  • NPI 1245312578
  Medicare reassignment NPD
• Eun Joo Kim, DC

  • Chiropractor
  • Lathrup Village, MI
  • NPI 1356363279
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1669501516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28245 SOUTHFIELD RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762863",
            "telephone_number": "248-552-1110",
            "fax_number": "248-552-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28245 SOUTHFIELD RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762863",
            "telephone_number": "248-552-1110",
            "fax_number": "248-552-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'DELL FAMILY CHIROPRACTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "O'DELL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-552-1110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kevin James O'Dell, D.C.
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• Tariq Omar, M.D.
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• Pain and Rehabilitation Physicians. P.C.

• Chiropractor in Lathrup Village, MI
• Providers in Lathrup Village, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.