Purdy Chiropractic, P.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301004596 Issued in MI

Legal business name

PURDY CHIROPRACTIC, P.L.C.

Practice address

51 S.B. Gratiot Ave.
Mount Clemens, MI 48043-5640

Phone

(586) 465-7900

Fax

(586) 465-2411

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Mitchel Purdy, D.C.NPI 1851330021

Title

Owner

Phone

(586) 465-7900

Specialties & licenses 1

Addresses

Other identifiers 3

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, and the practitioner matching its NPPES authorized official.

• David Mitchel Purdy, DC

  • Chiropractor
  • Mount Clemens, MI
  • NPI 1851330021
  Medicare reassignment NPD Authorized official
• Lisa Evelyn Purdy-Kanas, D.C.

  • Chiropractor
  • Shelby Township, MI
  • NPI 1669424396
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1669530432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 S.B. GRATIOT AVE",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435640",
            "telephone_number": "586-465-7900",
            "fax_number": "586-465-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 S.B. GRATIOT AVE.",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435640",
            "telephone_number": "586-465-7900",
            "fax_number": "586-465-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURDY CHIROPRACTIC, P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "PURDY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MITCHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-465-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4805662",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "CH500066",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES",
            "identifier": "102483",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle J Przybylski, DO
• Julie Kristen Puggini, LPC
• Crystal Jean Pulice, D.O.
• Purdy Chiropractic East
• Purdy Chiropractic East, PLLC
• David Mitchel Purdy, DC
• Isabella Marie Quadrini, DO
• Jerome D Querns, CRNA
• Rumsha Qureshi
• Melanie Lou Racenstein, DO

• Chiropractor in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.