Active NPI
Alan Wayne Dore, M.D.
- Chiropractor
- Westland, MI
National Provider Identifier
1841464740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- AD004503
- Practice address
- 1645 S Wayne Rd
Westland, MI 48186-5621 - Phone
- (734) 728-7246
- NPI assigned
- Apr 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | AD004503 | MI | Primary |
Addresses
Primary practice location
1645 S Wayne Rd
Westland, MI 48186-5621
Mailing address
9225 Lucerne
Redford, MI 48239-1896
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 261622474 | Other | MI | TAX ID # |
| AD004503 | Other | MI | STATE LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AD004503 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan First Chiropractor LLC | Chiropractor | Current | Accepting new patients |
| Great Lakes Administrative Services LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Southfield, MI
- NPI 1821931668
-
- Chiropractor
- Westland, MI
- NPI 1255505160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1841464740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9225 LUCERNE",
"city": "REDFORD",
"state": "MI",
"postal_code": "482391896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 S WAYNE RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481865621",
"telephone_number": "734-728-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORE",
"first_name": "ALAN",
"middle_name": "WAYNE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-22",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "AD004503",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "261622474",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "AD004503",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.