Michigan Chiropractic and Medical Massage Clinic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MICHIGAN CHIROPRACTIC AND MEDICAL MASSAGE CLINIC, LLC

Practice address

23300 Greenfield Rd Ste 104
Oak Park, MI 48237-8407

Phone

(786) 309-1286

NPI assigned

Sep 19, 2016

Organization subpart

No

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

Authorized official

Name

Troy Causey

Title

Ceo

Phone

(786) 309-1286

Specialties & licenses 1

Addresses

Tax ID family

Michigan Chiropractic and Medical Massage Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Michigan Chiropractic and Medical Massage Therapy, LLC

  • Massage Therapist
  • Oak Park, MI
  • NPI 1063956753
  NPD tax ID

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1780132845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23300 GREENFIELD RD STE 104",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482378407",
            "telephone_number": "786-309-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23300 GREENFIELD RD STE 104",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482378407",
            "telephone_number": "786-309-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN CHIROPRACTIC AND MEDICAL MASSAGE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "CAUSEY",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-309-1286"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michigan Allergy, Asthma & Immunology Center PLLC
• Michigan Ambulatory Surgical Center, LLC
• Michigan Chiropractic and Medical Massage Therapy, LLC
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• Quanta Milledge-Benjamin
• Carolyn Miller

• Chiropractor in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.