NPIMap

Organization Active NPI

Facca Chiropractic Clinic

  • Chiropractor
  • Royal Oak, MI
National Provider Identifier
1710174917
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004625 Issued in MI
Legal business name
FACCA CHIROPRACTIC CLINIC
Practice address
2715 W Webster Rd
Royal Oak, MI 48073-3700
Phone
(248) 545-1550
Fax
(248) 545-2327
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Dr. Robert Rossit Facca, D.C.NPI 1770581647
Title
Owner
Phone
(248) 545-1550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301004625 MI Primary

Addresses

Primary practice location

2715 W Webster Rd
Royal Oak, MI 48073-3700

Mailing address

2715 W Webster Rd
Royal Oak, MI 48073-3700
Phone (248) 545-1550

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1710174917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 W WEBSTER RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733700",
            "telephone_number": "248-545-1550",
            "fax_number": "248-545-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 W WEBSTER RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733700",
            "telephone_number": "248-545-1550",
            "fax_number": "248-545-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACCA CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "FACCA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ROSSIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-545-1550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.