Organization Active NPI

Warren Chiropractic & Rehab Clinic P.C.

  • Chiropractor
  • Detroit, MI
National Provider Identifier
1669643011
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WARREN CHIROPRACTIC & REHAB CLINIC P.C.
Practice address
19201 W Warren Ave
Detroit, MI 48228-3393
Phone
(313) 240-7950
NPI assigned
Mar 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Dr. John Mousa Mufarreh, D.C.
Title
President
Phone
(313) 240-7950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

19201 W Warren Ave
Detroit, MI 48228-3393

Mailing address

PO Box 811
Dearborn, MI 48121-0811
Phone (313) 240-7950

Other identifiers 2

IdentifierTypeStateIssuer
4384972MedicaidMI
JM008246OtherMIBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1669643011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 811",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481210811",
            "telephone_number": "313-240-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19201 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283393",
            "telephone_number": "313-240-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN CHIROPRACTIC & REHAB CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "MUFARREH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MOUSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-240-7950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4384972",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "JM008246",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

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