Shadow Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SHADOW CHIROPRACTIC INC

Practice address

23077 Greenfield Rd Ste 158
Southfield, MI 48075-3765

Phone

(248) 782-5582

NPI assigned

Jun 2, 2022

Last updated

Jun 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Geoffrey Sagala, DCNPI 1013038629

Title

Member

Phone

(248) 968-9371

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Geoffrey K Sagala, D.C.

  • Rehabilitation Chiropractor
  • Oak Park, MI
  • NPI 1013038629
  Authorized official Same address or phone

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1740929256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD STE 158",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD STE 158",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753765",
            "telephone_number": "248-782-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADOW CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "SAGALA",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-968-9371",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley George Sewick, PHD
• Catherine Sewick, LLMSW
• Kayla Sexton
• Ryan Seyburn
• Nabeel Shabo, MD
• Ila Shah-Reddy, M.D. F.A.C.P
• Bhumei Shah
• Dina Shah, MD
• Dipak P Shah, M.D.
• Juhi Shah, PT

• Chiropractor in Southfield, MI
• Providers in Southfield, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.