Organization Active NPI

Daniel L Collins DC PC

  • Chiropractor
  • Livonia, MI
National Provider Identifier
1770758690
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006966 Issued in MI
Legal business name
DANIEL L COLLINS DC PC
Practice address
29671 6 Mile Rd
St 110 C
Livonia, MI 48152-4555
Phone
(734) 261-7000
Fax
(734) 261-7001
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Authorized official

Name
Dr. Daniel L Collins, D.C.NPI 1720172562
Title
Chiropractor
Phone
(734) 261-7000

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 DC006966 MI Primary

Addresses

Primary practice location

29671 6 Mile Rd
St 110 C
Livonia, MI 48152-4555

Mailing address

29671 6 Mile Rd
St 110 C
Livonia, MI 48152-4555
Phone (734) 261-7000

Other identifiers 1

IdentifierTypeStateIssuer
95OH253020OtherMIBCBSM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080721000397 MI Part B Supplier - Clinic/Group Practice 9133292477 Receives reassigned benefits from 1 practitioner
Practice locations: Livonia, MI

National Provider Directory

National Provider Directory

Locations

22190 Garrison St
Ste 304
Dearborn, MI 48124
Phone (313) 274-3182

29671 6 Mile Rd
Ste 110C
Livonia, MI 48152
Phone (734) 261-7000

29671 6 Mile Rd
Ste 110
Livonia, MI 48152

Practitioners & affiliated clinicians

Practitioners 1

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": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1770758690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29671 6 MILE RD",
            "address_2": "ST 110 C",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524555",
            "telephone_number": "734-261-7000",
            "fax_number": "734-261-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29671 6 MILE RD",
            "address_2": "ST 110 C",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524555",
            "telephone_number": "734-261-7000",
            "fax_number": "734-261-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL L COLLINS DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "734-261-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "DC006966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "95OH253020",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.