Purdy Chiropractic Clinic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301004111 Issued in MI

Legal business name

PURDY CHIROPRACTIC CLINIC, P.C.

Practice address

32860 Ryan Rd
Warren, MI 48092-4350

Phone

(586) 264-7744

Fax

(586) 977-7711

NPI assigned

Nov 29, 2006

Last updated

Jan 29, 2008By 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

Dr. William A Purdy, D.C.NPI 1649346685

Title

President

Phone

(586) 264-7744

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

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.

• Nicole Janette Purdy-Cantu, D.C.

  • Chiropractor
  • Sterling Heights, MI
  • NPI 1548447790
  Medicare reassignment NPD
• William A Purdy, D.C.

  • Chiropractor
  • Warren, MI
  • NPI 1649346685
  Authorized official Same address or phone
• David Mitchel Purdy, DC

  • Chiropractor
  • Mount Clemens, MI
  • NPI 1851330021
  NPD (past)
• Carol L Wood-Zanchetta, D.C.

  • Chiropractor
  • Saint Clair Shores, MI
  • NPI 1871669846
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1770650368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32860 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924350",
            "telephone_number": "586-264-7744",
            "fax_number": "586-977-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32860 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924350",
            "telephone_number": "586-264-7744",
            "fax_number": "586-977-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURDY CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "PURDY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-264-7744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "WP004111",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1400061",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK COMP",
            "identifier": "WP004111",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.