Organization Active NPI

Bartell Chiropractic Life Center PLLC

  • Chiropractor
  • Dearborn, MI
National Provider Identifier
1730220138
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301002835 Issued in MI
Legal business name
BARTELL CHIROPRACTIC LIFE CENTER PLLC
Practice address
24837 Michigan Ave
Dearborn, MI 48124-1712
Phone
(313) 561-1800
Fax
(313) 561-2880
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Larry Anthony Bartell, D.C.
Title
Director
Phone
(313) 561-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301002835 MI Primary

Addresses

Primary practice location

24837 Michigan Ave
Dearborn, MI 48124-1712

Mailing address

24837 Michigan Ave
Dearborn, MI 48124-1712
Phone (313) 561-1800

Other names 1

  • Bartell Chiropractic Life Center Doing business as

National Provider Directory

National Provider Directory

Locations

24837 Michigan Ave
Dearborn, MI 48124
Phone (313) 561-1800

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730220138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24837 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241712",
            "telephone_number": "313-561-1800",
            "fax_number": "313-561-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24837 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241712",
            "telephone_number": "313-561-1800",
            "fax_number": "313-561-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTELL CHIROPRACTIC LIFE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARTELL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-561-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301002835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bartell Chiropractic Life Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.