Organization Active NPI

Back in Motion Chiropractic,DC,PLLC.

  • Chiropractor
  • Dearborn, MI
National Provider Identifier
1689040800
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008359 Issued in MI
Legal business name
BACK IN MOTION CHIROPRACTIC,DC,PLLC.
Practice address
5452 Schaefer Rd
Dearborn, MI 48126-3223
Phone
(313) 586-3100
Fax
(313) 914-5368
NPI assigned
Aug 12, 2015
Last updated
Oct 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Dr. Hassan Reichouni, DC
Title
President
Phone
(313) 586-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301008359 MI Primary

Addresses

Primary practice location

5452 Schaefer Rd
Dearborn, MI 48126-3223

Mailing address

5452 Schaefer Rd
Dearborn, MI 48126-3223
Phone (313) 586-3100

National Provider Directory

National Provider Directory

Locations

5452 Schaefer Rd
Dearborn, MI 48126
Phone (313) 414-8811

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1689040800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5452 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263223",
            "telephone_number": "313-586-3100",
            "fax_number": "313-914-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5452 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263223",
            "telephone_number": "313-586-3100",
            "fax_number": "313-914-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN MOTION CHIROPRACTIC,DC,PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "REICHOUNI",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-586-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.