Active NPI
Susan Gayle Salomon, D.C.
- Chiropractor
- Southfield, MI
National Provider Identifier
1669709333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- SS006928
- Practice address
- 24777 Greenfield Rd
Southfield, MI 48075-3065 - Phone
- (248) 557-1818
- NPI assigned
- Nov 17, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | SS006928 | MI | Primary |
Addresses
Primary practice location
24777 Greenfield Rd
Southfield, MI 48075-3065
Mailing address
24777 Greenfield Rd
Southfield, MI 48075-3065
Phone (248) 557-1818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16539608339 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SS006928 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275004800000",
"number": "1669709333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24777 GREENFIELD RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753065",
"telephone_number": "248-557-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24777 GREENFIELD RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753065",
"telephone_number": "248-557-1818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALOMON",
"first_name": "SUSAN",
"middle_name": "GAYLE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-17",
"last_updated": "2010-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "SS006928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16539608339",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.