NPIMap

Organization Active NPI

Dr. Carrol E Urban, Chiropractic Physician, P.C.

  • Chiropractor
  • Warren, MI
National Provider Identifier
1669590253
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
002811 Issued in MI
Legal business name
DR. CARROL E URBAN, CHIROPRACTIC PHYSICIAN, P.C.
Doing business as
Warren Chiropractic Clinic
Practice address
6201 Chicago Rd
Warren, MI 48092-1610
Phone
(586) 264-3621
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Carrol E Urban, D.C.
Title
Owner
Phone
(586) 264-3621

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 002198 MI
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 002811 MI Primary

Addresses

Primary practice location

6201 Chicago Rd
Warren, MI 48092-1610

Mailing address

6201 Chicago Rd
Warren, MI 48092-1610
Phone (586) 264-3621

Other names 1

  • Warren Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

6201 Chicago Rd
Warren, MI 48092
Phone (313) 264-3621

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669590253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 CHICAGO RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480921610",
            "telephone_number": "586-264-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 CHICAGO RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480921610",
            "telephone_number": "586-264-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CARROL E URBAN, CHIROPRACTIC PHYSICIAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "URBAN",
        "authorized_official_first_name": "CARROL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-264-3621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "002198",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "002811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warren Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.