Active NPI
Joseph Michael Wardie, D.O.
- Nutrition Chiropractor
- Grosse Pointe Woods, MI
National Provider Identifier
1730264193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 2301009209
- Practice address
- 20567 Mack Ave
Grosse Pointe Woods, MI 48236-1655 - Phone
- (313) 881-0662
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 2301009209 | MI | Primary |
Addresses
Primary practice location
20567 Mack Ave
Grosse Pointe Woods, MI 48236-1655
Mailing address
8316 Bennett Lake Rd
Fenton, MI 48430-9089
Phone (810) 735-5336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301009209 | MI | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730264193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8316 BENNETT LAKE RD",
"city": "FENTON",
"state": "MI",
"postal_code": "484309089",
"telephone_number": "810-735-5336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20567 MACK AVE",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482361655",
"telephone_number": "313-881-0662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARDIE",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "MI",
"license": "2301009209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grosse Pointe Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.