Active NPI
Dallas Blackwell, Inc.
- Integrative Medicine Physician
- Ann Arbor, MI
National Provider Identifier
1700570207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Integrative Medicine Physician | 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 DirectoryLocations
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.