Organization Active NPI

Dallas Blackwell, Inc.

  • Integrative Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1700570207
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
Legal business name
DALLAS BLACKWELL, INC.
Practice address
2725 S Industrial Hwy Ste 300
Ann Arbor, MI 48104-6233
Phone
(734) 845-9122
NPI assigned
Jun 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Cheryl Griffin
Title
Office Manager
Phone
(734) 845-9122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202D00000X Primary

Addresses

Primary practice location

2725 S Industrial Hwy Ste 300
Ann Arbor, MI 48104-6233

Mailing address

2725 S Industrial Hwy Ste 300
Ann Arbor, MI 48104-6233
Phone (734) 845-9122

National Provider Directory

National Provider Directory

Locations

2725 S Industrial Hwy
Ste 300
Ann Arbor, MI 48104
Phone (734) 845-9122

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1700570207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 S INDUSTRIAL HWY STE 300",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046233",
            "telephone_number": "734-845-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 S INDUSTRIAL HWY STE 300",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046233",
            "telephone_number": "734-845-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS BLACKWELL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "734-845-9122"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.