Delta Chiropractic Center,P.L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008023 Issued in MI

Legal business name

DELTA CHIROPRACTIC CENTER,P.L.L.C.

Practice address

222 N Mill St
Saint Louis, MI 48880-1523

Phone

(989) 681-4107

Fax

(989) 681-3628

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Ahmad Zia Khorrami, D.C.NPI 1598843542

Title

President

Phone

(989) 681-4107

Specialties & licenses 1

Addresses

Other identifiers 2

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, and the practitioner matching its NPPES authorized official.

• Ahmad Zia Khorrami, D.C.

  • Chiropractor
  • Saint Louis, MI
  • NPI 1598843542
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1700099181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N MILL ST",
            "city": "SAINT LOUIS",
            "state": "MI",
            "postal_code": "488801523",
            "telephone_number": "989-681-4107",
            "fax_number": "989-681-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N MILL ST",
            "city": "SAINT LOUIS",
            "state": "MI",
            "postal_code": "488801523",
            "telephone_number": "989-681-4107",
            "fax_number": "989-681-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA CHIROPRACTIC CENTER,P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "KHORRAMI",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "ZIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-681-4107",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144967141",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN#",
            "identifier": "950B950020",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lundi Ann Cornell, LAC, RN
• Creative Autism Treatments
• Judy L Crockett, MA, LPC
• Nicki Elizabeth Croel-Darter, RN
• Mari I Debolt
• Paige Marie Dines, DC
• Justin Michael Elliott, OTRL
• Evans Drugs of Saint Louis LLC
• Janet Lynn Ferguson
• Alexandria Fisher

• Chiropractor in Saint Louis, MI
• Providers in Saint Louis, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.