Active NPI
Rany Mousa, DC
- Chiropractor
- Southfield, MI
National Provider Identifier
1750123261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301401523
- Practice address
- 26400 Lahser Rd Ste 110
Southfield, MI 48033-2672 - Phone
- (917) 449-7582
- Fax
- (727) 821-8913
- NPI assigned
- Jun 7, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301401523 | MI | Primary |
Addresses
Primary practice location
26400 Lahser Rd Ste 110
Southfield, MI 48033-2672
Mailing address
26400 Lahser Rd Ste 110
Southfield, MI 48033-2672
Phone (917) 449-7582
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301401523 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolve Chiropractic and Wellness Center Professional Corporation | Chiropractor | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Bingham Farms, MI
- NPI 1992647994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1750123261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26400 LAHSER RD STE 110",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480332672",
"telephone_number": "917-449-7582",
"fax_number": "727-821-8913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26400 LAHSER RD STE 110",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480332672",
"telephone_number": "917-449-7582",
"fax_number": "727-821-8913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUSA",
"first_name": "RANY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-07",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301401523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.