NPIMap

Organization Active NPI

Hazel Park Chiropractic

  • Chiropractor
  • Hazel Park, MI
National Provider Identifier
1699791293
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301006632 Issued in MI
Legal business name
HAZEL PARK CHIROPRACTIC
Practice address
24503 John R Rd
Hazel Park, MI 48030-1141
Phone
(248) 543-1660
NPI assigned
Jul 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Paul Puumala, D.C.
Title
President
Phone
(248) 543-1660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301006632 MI Primary

Addresses

Primary practice location

24503 John R Rd
Hazel Park, MI 48030-1141

Mailing address

24503 John R Rd
Hazel Park, MI 48030-1141
Phone (248) 543-1660

Other identifiers 1

IdentifierTypeStateIssuer
OF35258OtherMIBLUE CROSS BLUE SHIELD OF

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699791293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24503 JOHN R RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301141",
            "telephone_number": "248-543-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24503 JOHN R RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301141",
            "telephone_number": "248-543-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEL PARK CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUUMALA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-543-1660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "OF35258",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.