Organization Active NPI

Diegel Chiropractic Inc

  • Chiropractor
  • Shelby Township, MI
National Provider Identifier
1740451897
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007295 Issued in MI
Legal business name
DIEGEL CHIROPRACTIC INC
Practice address
49780 Van Dyke Ave
Shelby Township, MI 48317-1343
Phone
(586) 254-2060
Fax
(586) 254-2948
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Dr. Robert William Diegel, D.C.NPI 1871503854
Title
President/Owner
Phone
(586) 254-2060

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 2301007295 MI Primary

Addresses

Primary practice location

49780 Van Dyke Ave
Shelby Township, MI 48317-1343

Mailing address

49780 Van Dyke Ave
Shelby Township, MI 48317-1343
Phone (586) 254-2060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080521000391 MI Part B Supplier - Clinic/Group Practice 3072682764 Receives reassigned benefits from 1 practitioner
Practice locations: Shelby Township, MI

National Provider Directory

National Provider Directory

Locations

49780 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 254-2060

49780 Van Dyke Ave
#C
Shelby Township, MI 48317
Phone (586) 254-2060

Practitioners & affiliated clinicians

Practitioners 2

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": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1740451897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49780 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483171343",
            "telephone_number": "586-254-2060",
            "fax_number": "586-254-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49780 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483171343",
            "telephone_number": "586-254-2060",
            "fax_number": "586-254-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEGEL CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "DIEGEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "586-254-2060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.

Verify at the official NPI Registry.