Active NPI
Performance Health Chiropractic PLC
- Chiropractor
- Ann Arbor, MI
National Provider Identifier
1710295910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301009501
- Legal business name
- PERFORMANCE HEALTH CHIROPRACTIC PLC
- Practice address
- 2330 E Stadium Blvd
Suite 3
Ann Arbor, MI 48104-4820 - Phone
- (734) 929-4523
- NPI assigned
- Sep 22, 2010
- 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
- Dr. Timothy Dehr, DC
- Title
- Owner
- Phone
- (734) 929-4523
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301009501 | MI | Primary |
Addresses
Primary practice location
2330 E Stadium Blvd
Suite 3
Ann Arbor, MI 48104-4820
Mailing address
2330 E Stadium Blvd
Suite 3
Ann Arbor, MI 48104-4820
Phone (734) 929-4523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2330 E Stadium Blvd
Ste 3
Ann Arbor, MI 48104
Phone (734) 330-7787
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Ann Arbor, MI
- NPI 1922243781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285113600000",
"number": "1710295910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 E STADIUM BLVD",
"address_2": "SUITE 3",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481044820",
"telephone_number": "734-929-4523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 E STADIUM BLVD",
"address_2": "SUITE 3",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481044820",
"telephone_number": "734-929-4523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERFORMANCE HEALTH CHIROPRACTIC PLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-22",
"last_updated": "2010-09-22",
"status": "A",
"authorized_official_last_name": "DEHR",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "734-929-4523",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "2301009501",
"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 Sep 22, 2010; 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.