Sarah B Radtke DC LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009531 Issued in MI

Legal business name

SARAH B RADTKE DC LLC

Practice address

33 Bloomfield Hills Pkwy
Suite 105
Bloomfield Hills, MI 48304-2944

Phone

(248) 258-3244

Fax

(248) 258-1157

NPI assigned

Jan 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Beth Radtke, D.C.

Title

Owner

Phone

(248) 258-3244

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Sarah Beth Welsh, D.C.

  • Chiropractor
  • Bloomfield Hills, MI
  • NPI 1710126297
  Medicare reassignment NPD

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1679844765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BLOOMFIELD HILLS PKWY",
            "address_2": "SUITE 105",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042944",
            "telephone_number": "248-258-3244",
            "fax_number": "248-258-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BLOOMFIELD HILLS PKWY",
            "address_2": "SUITE 105",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042944",
            "telephone_number": "248-258-3244",
            "fax_number": "248-258-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH B RADTKE DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "RADTKE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-258-3244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.