Novi Spinal Care Institute LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

SS008515 Issued in MI

Legal business name

NOVI SPINAL CARE INSTITUTE LLC

Practice address

39915 Grand River Ave
Suite 750
Novi, MI 48375-2153

Phone

(248) 476-7775

Fax

(248) 987-4972

NPI assigned

Dec 22, 2010

Organization subpart

No

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

Authorized official

Name

Shane Leland Stanely, DC

Title

Chiropractor

Phone

(248) 476-7775

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1699079285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39915 GRAND RIVER AVE",
            "address_2": "SUITE 750",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752153",
            "telephone_number": "248-476-7775",
            "fax_number": "248-987-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39915 GRAND RIVER AVE",
            "address_2": "SUITE 750",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752153",
            "telephone_number": "248-476-7775",
            "fax_number": "248-987-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVI SPINAL CARE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "STANELY",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "LELAND",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "248-476-7775",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "SS008515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Novi Pediatric Associates
• Novi Pharmacy LLC
• Novi Reconstructive Dentistry PC
• Novi Reference Laboratory
• Novi Sleep and TMJ PLLC
• Novi Surgery Center LLC
• Novi Urgent Care PLLC
• Novi Urgent Care PLLC
• Novi Urgent Care, PLLC
• Ariana Novo Araya

• Chiropractor in Novi, MI
• Providers in Novi, MI by specialty
• Chiropractor in Michigan

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

Verify at the official NPI Registry.