NPIMap

Organization Active NPI

Greater Michigan Chiropractic, PC

  • Chiropractor
  • Livonia, MI
National Provider Identifier
1821042995
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007151 Issued in MI
Legal business name
GREATER MICHIGAN CHIROPRACTIC, PC
Practice address
16349 Middlebelt Rd
Livonia, MI 48154-3360
Phone
(734) 261-0480
Fax
(734) 261-8452
NPI assigned
May 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Dr. David Robert Ellis, D.C.
Title
President
Phone
(734) 261-0480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301007151 MI Primary

Addresses

Primary practice location

16349 Middlebelt Rd
Livonia, MI 48154-3360

Mailing address

16349 Middlebelt Rd
Livonia, MI 48154-3360
Phone (734) 261-0480

National Provider Directory

National Provider Directory

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": "1148169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1821042995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16349 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543360",
            "telephone_number": "734-261-0480",
            "fax_number": "734-261-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16349 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543360",
            "telephone_number": "734-261-0480",
            "fax_number": "734-261-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MICHIGAN CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-21",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-261-0480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007151",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 15, 2010; 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.