Innovative Chiropractic Clinic PC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

INNOVATIVE CHIROPRACTIC CLINIC PC

Practice address

135 S Livernois Rd
Rochester Hills, MI 48307-1837

Phone

(248) 652-3343

NPI assigned

Apr 30, 2012

Organization subpart

No

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

Authorized official

Name

Fleming Pachucki

Title

Office Manager

Phone

(248) 652-3343

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald L Fried, D.C.

  • Chiropractor
  • Rochester Hills, MI
  • NPI 1215911755
  Medicare reassignment NPD
• Ronda L Dalton, DC

  • Nutrition Chiropractor
  • Rochester Hills, MI
  • NPI 1871668202
  NPD (past)

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1790043560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S LIVERNOIS RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483071837",
            "telephone_number": "248-652-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S LIVERNOIS RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483071837",
            "telephone_number": "248-652-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "PACHUCKI",
        "authorized_official_first_name": "FLEMING",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-652-3343"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indeal LLC
• Phyllis Robin Indianer, DDS
• Narciso O Inez, M.D.
• Infusystem Inc
• Ingolia Medical Service, Inc.
• Innovative Hope Therapy
• Integrative Pulmonary and Sleep Medicine PLLC
• Integrity Laboratory Services Inc
• Internal Medicine Associates of Rochester Hills, P.C.
• Ruxandra Monica Ionescu, MD

• Preferred Provider Organization in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Preferred Provider Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.